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JENNIFER STEVENS
NPI 1457098170
Counselor - Mental Health in Cocoa, FL

Active since May 14, 2022PECOS Enrolled
640 BREVARD AVE STE 104, COCOA, FL 32922(508) 435-8682 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Stevens NPPES

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

JENNIFER STEVENS (NPI 1457098170) is an individual mental health provider in Cocoa, Florida and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457098170
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER STEVENS
Location Address640 BREVARD AVE STE 104Cocoa, FL 32922-7849
Mailing Address903 Lake Lily Dr Apt B416Maitland, FL 32751-7655 · (508) 498-5432
Phone(508) 435-8682
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 14, 2022
NPPES CertifiedMay 14, 2022
✔ NPI 1457098170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
640 BREVARD AVE STE 104, Cocoa, FL 32922
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Other Identifiers 1

Other839299513IL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Stevens is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062982168
PECOS Enrollment IDI20260529002650
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

FONYA COTMAN
Counselor (Mental Health)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
MRS. TRACY ANN CRAWFORD LCSW
Social Worker (Clinical)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
ZACHARY MCGUIRE
Social Worker
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
TAMMY LYNN MCBRIDE MA
Counselor (Mental Health)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
ANGY CAROLINA MORALES
Counselor (Mental Health)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
JACOB PEREZ
Counselor (Mental Health)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
MS. ALYSSA JAMEER MS
Counselor (Mental Health)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111
MR. BRIAN ROBERT WINGARD MA
Counselor (Mental Health)
640 BREVARD AVE STE 104
COCOA, FL 32922
Brevard County (321) 433-1111

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 Jennifer Stevens's NPI number?

The NPI number for Jennifer Stevens is 1457098170. It was assigned to this individual provider in the NPPES registry on May 14, 2022.

Where is Jennifer Stevens located?

Jennifer Stevens practices at 640 Brevard Ave Ste 104, Cocoa, FL 32922. The listed phone number is (508) 435-8682.

What is Jennifer Stevens's specialty?

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

Is Jennifer Stevens enrolled in Medicare?

Yes. Jennifer Stevens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Stevens was last updated on May 14, 2022. 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.