BREVARD OUTPATIENT ALTERNATIVE TREATMENT
NPI 1275692204
Counselor - Addiction (Substance Use Disorder) in Satellite Beach, FL
NPI Status: Active since December 06, 2006
Contact Information
1127 S PATRICK DR
SUITE 24
SATELLITE BEACH, FL
ZIP 32937
Phone: (321) 773-1111
Fax: (321) 773-1692
- Organization
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- CLIA Number: 10D2180389
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 03-11-2026
About BREVARD OUTPATIENT ALTERNATIVE TREATMENT
This page provides the complete NPI Profile along with additional information for Brevard Outpatient Alternative Treatment, a provider established in Satellite Beach, Florida operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1275692204 assigned on December 2006. The practitioner's primary taxonomy code is 101YA0400X with license number 0705AD916901 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Brevard Outpatient Alternative Treatment. The authorized official of this NPI record is Mr. John W Holdsworth M.s. (Executive Director)
- NPI
- 1275692204
- Provider Legal Name
- PROGRESSIVE COUNSELING CENTERS INC
- Other Organization Name
- BREVARD OUTPATIENT ALTERNATIVE TREATMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937
- Location Phone
- (321) 773-1111
- Location Fax
- (321) 773-1692
- Mailing Address
- 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937
- Mailing Phone
- (321) 773-1111
- Mailing Fax
- (321) 773-1692
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2006
- Last Update Date
- 06-10-2009
- Code Navigator
A Substance Abuse or Addiction Counselor like Brevard Outpatient Alternative Treatment advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0705AD916901
- License State
- FL
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gym Access IND Bronze HMO 1340 - HMO
- Gym Access IND Bronze HMO OA 1211 - HMO
- Gym Access IND Bronze HMO OA Standard 2450 - HMO
- Gym Access IND Bronze POS 1042 - POS
- Gym Access IND Bronze POS BC 3841 - POS
- Gym Access IND Bronze POS OA 1211 - POS
- Gym Access IND Bronze POS OA Standard 2450 - POS
- Gym Access IND Bronze Standardized HMO - HMO
- Gym Access IND Essential Plus Catastrophic HMO 36 - HMO
- Gym Access IND Essential Plus Catastrophic POS 37 - POS
- Gym Access IND Essential Plus Platinum POS 65 - POS
- Gym Access IND Gold HMO 4500 - HMO
- Gym Access IND Gold HMO BC 5651 - HMO
- Gym Access IND Gold HMO H.S.A 9010 - HMO
- Gym Access IND Gold HMO OA Standard 3450 - HMO
- Gym Access IND Gold POS 55001 - POS
- Gym Access IND Gold POS BC 5651 - POS
- Gym Access IND Gold POS OA Standard 3450 - POS
- Gym Access IND Platinum POS BC 1941 - POS
- Gym Access IND Platinum POS OA Standard 4450 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2180389
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- March 12, 2024
- Certificate Expiration Date
- March 11, 2026
- Laboratory Director
- GWEN A. MUNDORF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brevard Outpatient Alternative Treatment to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BREVARD OUTPATIENT ALTERNATIVE TREATMENT
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 9 | 2 | 2 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 9 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 9 + 4 + 2 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1275692204 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447301759 | DR. CHARLES STEVENS PSY.D. Individual | Psychologist (Clinical Child & Adolescent) | 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937 (321) 773-1111 |
| 1639379928 | FLORIDA PSYCHOLOGICAL SPECIALISTS Organization | Psychologist (Clinical Child & Adolescent) | 1127 S PATRICK DR SUITE 1 SATELLITE BEACH, FL 32937 (321) 777-4440 |
| 1427289727 | MS. CATHERINE OXLEY LCSW Individual | Social Worker (Clinical) | 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937 (321) 773-1111 |
| 1285965616 | MR. TIMOTHY MARTIN CARROLL CAS Individual | Counselor (Addiction (Substance Use Disorder)) | 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937 (321) 773-1111 |
| 1679899744 | SHIRLEY DIAN BRADSHAW L.M.H.C. Individual | Counselor (Mental Health) | 1127 S PATRICK DR #24 SATELLITE BCH, FL 32937 (321) 773-1111 |
| 1386950830 | MATIAS RODRIGUEZ M.S. Individual | Student in an Organized Health Care Education/Training Program | 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937 (321) 773-1111 |
| 1740608140 | DAVID DECUIR MSW,CNP Individual | Social Worker (Clinical) | 1127 S PATRICK DR SUITE 24 SATELLITE BEACH, FL 32937 (321) 773-1111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275692204, enumerated in the NPI registry as an "organization" on December 06, 2006
The provider is located at 1127 S Patrick Dr Suite 24 Satellite Beach, Fl 32937 and the phone number is (321) 773-1111
This medical organization specializes in Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Florida Health Care Plans. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2180389 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.