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KASSANDRA ROSA
NPI 1366080509
Counselor - Mental Health in Port St Lucie, FL

Active since December 18, 2019
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983(772) 873-8811 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2024, Dec 18, 2019 (2 updates tracked since 2019).

About Kassandra Rosa NPPES

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

KASSANDRA ROSA (NPI 1366080509) is an individual mental health provider in Port St Lucie, Florida and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1366080509
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKASSANDRA ROSA
Location Address518 SW PRIMA VISTA BLVDPort St Lucie, FL 34983-8734
Mailing Address518 Sw Prima Vista BlvdPort St Lucie, FL 34983-8734
Phone(772) 873-8811
Sole ProprietorYes
Enumeration DateDecember 18, 2019
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1366080509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
518 SW PRIMA VISTA BLVD, Port St Lucie, FL 34983
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Other Providers at the Same Location NPPES 20

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

YANIQUE DUVAL MD PA
Psychiatry & Neurology (Psychiatry)
518 SW PRIMA VISTA BLVD
PORT-ST-LUCIE, FL 34983
St. Lucie County (772) 344-2293
YANIQUE DUVAL MD PA
Clinic/Center (Rehabilitation, Substance Use Disorder)
518 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
St. Lucie County (561) 687-1304
PHOENIX RESOLUTIONS TREATMENT FACILITY
Clinic/Center (Rehabilitation, Substance Use Disorder)
518 SW PRIMA VISTA BLVD, SUITE B
PORT SAINT LUCIE, FL 34983
St. Lucie County (914) 584-2395
DR. COLLEEN GREENE LCMHC, CAP
Counselor (Mental Health)
518 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
St. Lucie County (561) 818-2267
PHOENIX RESOLUTIONS TREATMENT CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
518 SW PRIMA VISTA BLVD, SUITE
PORT SAINT LUCIE, FL 34983
St. Lucie County (954) 678-0078
ORIELLE MALCOLM MSED
Counselor (Mental Health)
518 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
St. Lucie County (772) 873-8811
RICARDO JOASSAINT
Social Worker (Clinical)
518 SW PRIMA VISTA BLVD
PORT SAINT LUCIE, FL 34983
St. Lucie County (954) 639-7345
CONSUELO COPETE
Counselor (Mental Health)
518 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
St. Lucie County (772) 873-8811

Frequently Asked Questions

What is Kassandra Rosa's NPI number?

The NPI number assigned to this healthcare provider is 1366080509, enumerated as an "individual" on December 18, 2019.

Where is the provider located?

The provider is located at 518 SW PRIMA VISTA BLVD PORT ST LUCIE, FL 34983 and the phone number is (772) 873-8811.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.