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: 03-11-2028
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 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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 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 Silver HMO BC 0941 - HMO
- Gym Access IND Silver HMO BC 7741 - HMO
- Gym Access IND Silver HMO OA 1009 - HMO
- Gym Access IND Silver HMO OA Standard 1440 - HMO
- Gym Access IND Silver POS BC 0941 - 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, 2026
- Certificate Expiration Date
- March 11, 2028
- 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275692204, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SATELLITE BEACH, FL 32937
SATELLITE BEACH, FL 32937
SATELLITE BEACH, FL 32937
SATELLITE BEACH, FL 32937
SATELLITE BCH, FL 32937
SATELLITE BEACH, FL 32937
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275692204, enumerated 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.
Counselor with taxonomy code 101YA0400X and 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 verify.
