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BREVARD OUTPATIENT ALTERNATIVE TREATMENT
NPI 1275692204
Counselor - Addiction (Substance Use Disorder) in Satellite Beach, FL

Active since December 06, 2006CLIA 10D2180389 · Waiver
1127 S PATRICK DR, SUITE 24, SATELLITE BEACH, FL 32937(321) 773-1111(321) 773-1692 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brevard Outpatient Alternative Treatment NPPES

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

BREVARD OUTPATIENT ALTERNATIVE TREATMENT (NPI 1275692204) is a healthcare organization registered as an addiction (substance use disorder) in Satellite Beach, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists John W Holdsworth, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275692204
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePROGRESSIVE COUNSELING CENTERS INC
Location Address1127 S PATRICK DR, SUITE 24Satellite Beach, FL 32937-3939
Mailing Address1127 S Patrick Dr, Suite 24Satellite Beach, FL 32937-3939 · (321) 773-1111 · Fax (321) 773-1692
Phone(321) 773-1111
Fax(321) 773-1692
Organization SubpartNo
Authorized OfficialJohn W HoldsworthExecutive Director · (321) 773-1111
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 10, 2009
✔ NPI 1275692204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in FL · 0705AD916901
1127 S PATRICK DR, Satellite Beach, FL 32937
Open in Google Maps ↗

Other Names 1

Doing Business AsBrevard Outpatient Alternative Treatment

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans.Insurance ›

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 10D2180389

Brevard Outpatient Alternative Treatment · Satellite Beach, FL
Active · expires Mar 11, 2028
CLIA Number10D2180389
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorGwen A. Mundorf
Laboratory Phone(321) 773-1111
Laboratory LocationBrevard Outpatient Alternative Treatment1227 S Patrick Drive Suite 108, Satellite Beach, FL 32937
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MR. TIMOTHY MARTIN CARROLL CAS
Counselor (Addiction (Substance Use Disorder))
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
MATIAS RODRIGUEZ M.S.
Student in an Organized Health Care Education/Training Program
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
MS. CATHERINE OXLEY LCSW
Social Worker (Clinical)
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
DR. CHARLES STEVENS PSY.D.
Psychologist (Clinical Child & Adolescent)
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111
FLORIDA PSYCHOLOGICAL SPECIALISTS
Psychologist (Clinical Child & Adolescent)
1127 S PATRICK DR, SUITE 1
SATELLITE BEACH, FL 32937
Brevard County (321) 777-4440
SHIRLEY DIAN BRADSHAW L.M.H.C.
Counselor (Mental Health)
1127 S PATRICK DR, #24
SATELLITE BCH, FL 32937
Brevard County (321) 773-1111
DAVID DECUIR MSW,CNP
Social Worker (Clinical)
1127 S PATRICK DR, SUITE 24
SATELLITE BEACH, FL 32937
Brevard County (321) 773-1111

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 Progressive Counseling Centers Inc's NPI number?

The NPI number for Progressive Counseling Centers Inc is 1275692204. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Brevard Outpatient Alternative Treatment.

Where is Progressive Counseling Centers Inc located?

Progressive Counseling Centers Inc is located at 1127 S Patrick Dr Suite 24, Satellite Beach, FL 32937. The listed phone number is (321) 773-1111.

What is Progressive Counseling Centers Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Progressive Counseling Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2180389) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Progressive Counseling Centers Inc accept?

Health plans from Florida Health Care Plans list Progressive Counseling Centers Inc 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 Progressive Counseling Centers Inc was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.