THE BRAIN SPA, LLC
NPI 1063907517
Psychiatry & Neurology - Addiction Psychiatry in Jupiter, FL

Active since June 27, 2018CLIA 10D2172726 · Waiver
210 JUPITER LAKES BLVD STE 3102, JUPITER, FL 33458(561) 406-6561(561) 406-6629 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2018, Jun 27, 2018 (2 updates tracked since 2018).

About The Brain Spa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BRAIN SPA, LLC (NPI 1063907517) is a healthcare organization registered as an addiction psychiatry in Jupiter, Florida and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Edward Leonardo Barias, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1063907517
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business NameTHE BRAIN SPA, LLC
Location Address210 JUPITER LAKES BLVD STE 3102Jupiter, FL 33458
Mailing Address210 Jupiter Lakes Blvd Ste 3102Jupiter, FL 33458-7189 · (561) 406-6561 · Fax (561) 406-6629
Fax(561) 406-6629
Organization SubpartNo
Authorized OfficialEdward Leonardo BariasMedical Director/owner · (561) 406-6561
Enumeration DateJune 27, 2018
Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration
✔ NPI 1063907517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in FL · ME119718
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
210 JUPITER LAKES BLVD STE 3102, Jupiter, FL 33458

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Brain Spa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to The Brain Spa, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner8
Mental Health Counselor3
Psychiatry3
Clinical Psychologist1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1083372098
210 JUPITER LAKES BLVD STE 104
Jupiter, FL 33458
(561) 406-6561
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1689007700
210 JUPITER LAKES BLVD STE 3102
Jupiter, FL 33458
(561) 406-6561
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1588146930
210 JUPITER LAKES BLVD. UNIT 3102
Jupiter, FL 33458
(954) 205-1455
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770989923
173 VIA ROSINA
Jupiter, FL 33458
(561) 768-4880
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1750979373
4600 MILITARY TRL STE 103
Jupiter, FL 33458
(561) 855-4846
✔ PECOS2.1 mi
Psychiatry
NPI 1437442555
11301 SE TEQUESTA TER
Tequesta, FL 33469
(561) 744-0211
✔ PECOS3.8 mi
Psychiatry
NPI 1144396086
11911 US HIGHWAY 1
North Palm Beach, FL 33408
(561) 497-9474
✔ PECOS✔ Accepts Medicare6.2 mi
Mental Health Counselor
NPI 1043090004
517 EBBTIDE DR
North Palm Beach, FL 33408
(772) 486-0121
✔ PECOS✔ Accepts Medicare7.7 mi
Mental Health Counselor
NPI 1295310647
600 SANDTREE DR STE 209
Palm Beach Gardens, FL 33403
(561) 603-5114
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1891476966
5829 CORPORATE WAY
West Palm Beach, FL 33407
(561) 933-7531
✔ PECOS11 mi
Nurse Practitioner
NPI 1447950993
2000 PALM BEACH LAKES BLVD STE 303
West Palm Beach, FL 33409
(561) 303-0811
✔ PECOS✔ Accepts Medicare14 mi
Mental Health Counselor
NPI 1710518840
9845 BAYWINDS DR APT 6301
West Palm Beach, FL 33411
(561) 827-1531
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1356186621
409 4TH AVE N APT 2
Lake Worth, FL 33460
(561) 255-6692
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1235911678
7765 LAKE WORTH RD #1089
Lake Worth, FL 33467
(888) 588-2560
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1760517684
9647 PORTA LEONA LN
Boynton Beach, FL 33437
(561) 523-2155
✔ PECOS26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2172726

The Brain Spa, LLC · Jupiter, FL
Active · expires Sep 29, 2027
CLIA Number10D2172726
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorEdward Barias
Laboratory Phone(561) 406-6561
Laboratory LocationThe Brain Spa, LLC210 Jupiter Lakes Blvd Bldg 300 Suite 102, Jupiter, FL 33458
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Brain Spa, LLC's NPI number?

The NPI number for The Brain Spa, LLC is 1063907517. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is The Brain Spa, LLC located?

The Brain Spa, LLC is located at 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458. The listed phone number is (561) 406-6561.

What is The Brain Spa, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is The Brain Spa, LLC enrolled in Medicare?

Yes. The Brain Spa, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Brain Spa, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to The Brain Spa, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Mental Health Counselor (3) and Psychiatry (3). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Brain Spa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2172726) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Brain Spa, LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list The Brain Spa, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Brain Spa, LLC was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.