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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACK ADAM FASTEEN
NPI 1164338265
Counselor - Mental Health in Melbourne, FL

Active since August 20, 2026
200 S HARBOR CITY BLVD STE 401, MELBOURNE, FL 32901(321) 259-1662(321) 779-7729 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Adam Fasteen NPPES

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

JACK ADAM FASTEEN (NPI 1164338265) is an individual mental health provider in Melbourne, Florida, licensed in Florida (27226) and active in the NPI registry since August 2026. He maintains a secondary practice location in Viera.

NPPES Registry Identity

NPI1164338265
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK ADAM FASTEEN
Location Address200 S HARBOR CITY BLVD STE 401Melbourne, FL 32901-1389
Mailing Address200 S Harbor City Blvd Ste 401Melbourne, FL 32901-1389 · (321) 259-1662 · Fax (321) 779-7729
Phone(321) 259-1662
Fax(321) 779-7729
Sole ProprietorNo
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1164338265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 27226
200 S HARBOR CITY BLVD STE 401, Melbourne, FL 32901
Open in Google Maps ↗

Secondary Practice Location 1

Location 18249 Devereux Dr Ste 101Viera, FL 32940-7955 · Phone (321) 259-1662 ext. 2 · Fax (321) 779-7729

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RALPH ZIPPER MD PA
Obstetrics & Gynecology (Gynecology)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 674-2114
KATHI VOEGE HARVEY FNP
Nurse Practitioner (Psychiatric/Mental Health)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 258-1662
GIANCARLO OJEDA SANJURJO BCABA
Counselor (Mental Health)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 259-1662
MR. THOMAS DAVID JONES JR. MSW, LCSW
Social Worker (Clinical)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 312-0706
DR. KERRI GUADAGNI PSY.D.
Psychologist
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 259-1662
KRISTIE DILORENZO
Counselor (Mental Health)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 259-1662
SARA ADRADOS DNP, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 917-5549
ALANA CATHY SADHU RMHCI
Counselor (Mental Health)
200 S HARBOR CITY BLVD STE 401
MELBOURNE, FL 32901
Brevard County (321) 259-1662

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 Jack Fasteen's NPI number?

The NPI number for Jack Fasteen is 1164338265. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Jack Fasteen located?

Jack Fasteen practices at 200 S Harbor City Blvd Ste 401, Melbourne, FL 32901. The listed phone number is (321) 259-1662.

What is Jack Fasteen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jack Fasteen was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.