Space Coast Counseling Center, Inc.
NPI 1316070345ActiveOrganization· Counselor, Mental Health· Cape Canaveral, FL
Counselor, Mental Health in Cape Canaveral, Florida, registered in NPPES in March 2007. The authorized official on file is Lana Lynn Beasley, MA, LMHC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316070345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Jun 17, 2022 |
| Certified by provider | Jun 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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