BAYSIDE RECOERY AND WELLNESS CENTER LLC
NPI 1134775976
Community/Behavioral Health in Palm Bay, FL

Q: What is Bayside Recovery And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 16, 2019CLIA 10D2223959 · Waiver

1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905(321) 372-6897(321) 372-6896 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Aug 16, 2019 (2 updates tracked since 2019).

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About Bayside Recoery And Wellness Center Llc NPPES

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

BAYSIDE RECOERY AND WELLNESS CENTER LLC (NPI 1134775976) is a healthcare organization registered as a community/behavioral health in Palm Bay, Florida and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Morgan O'shaughnessy, Ceo/clincial Director, as its authorized official.

NPPES Registry Identity

NPI1134775976

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBAYSIDE RECOVERY AND WELLNESS CENTER LLC

Location Address1501 ROBERT J CONLAN BLVD NE STE 7Palm Bay, FL 32905-3559

Mailing Address1501 Robert J Conlan Blvd Ne Ste 7Palm Bay, FL 32905-3559 · (321) 372-6897 · Fax (321) 372-6896

Phone(321) 372-6897

Fax(321) 372-6896

Organization SubpartNo

Authorized OfficialMorgan O'shaughnessyCeo/clincial Director · (321) 372-6897

Enumeration DateAugust 16, 2019

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1134775976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

1501 ROBERT J CONLAN BLVD NE STE 7, Palm Bay, FL 32905

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Other Names 1

Doing Business AsBayside Recoery And Wellness Center Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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)

Bayside Recoery And Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bayside Recoery And Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Morgan O'shaughnessy

Mental Health Counselor

NPI 1407479876

100 S HARBOR CITY BLVD
Melbourne, FL 32901

(321) 266-1404

✔ PECOS5.2 mi

Kerstin Welch, LCSW

Clinical Social Worker

NPI 1174283097

150 COCONUT DR
Indialantic, FL 32903

(321) 510-4462

✔ PECOS✔ Accepts Medicare5.7 mi

Fritz Jean-Noel, MD

Psychiatry

NPI 1881891943

10301 HAGEN RANCH RD STE B200
Boynton Beach, FL 33437

(561) 752-9490

✔ PECOS107 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 10D2223959

Bayside Recovery And Wellness Center LLC · Palm Bay, FL

Active · expires May 10, 2027

CLIA Number10D2223959

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateMay 11, 2025

Certificate Expiration DateMay 10, 2027

Laboratory DirectorDr. Fritz Jean-Noel

Laboratory Phone(321) 372-6897

Laboratory LocationBayside Recovery And Wellness Center LLC1501 Robert J Conlan Blvd Ste 7, Palm Bay, FL 32905

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 Bayside Recovery And Wellness Center LLC's NPI number?

The NPI number for Bayside Recovery And Wellness Center LLC is 1134775976. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider is doing business as Bayside Recoery And Wellness Center LLC.

Where is Bayside Recovery And Wellness Center LLC located?

Bayside Recovery And Wellness Center LLC is located at 1501 Robert J Conlan Blvd NE Ste 7, Palm Bay, FL 32905. The listed phone number is (321) 372-6897.

What is Bayside Recovery And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Bayside Recovery And Wellness Center LLC enrolled in Medicare?

Yes. Bayside Recovery And Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bayside Recovery And Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bayside Recovery And Wellness Center LLC, in Clinical Social Worker, Mental Health Counselor and Psychiatry. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bayside Recovery And Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2223959) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bayside Recovery And Wellness Center LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Bayside Recovery And Wellness Center 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 Bayside Recovery And Wellness Center LLC was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.