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SANTA ROSA COUNSELING CENTER LLC
NPI 1962697441
Counselor - Mental Health in Milton, FL

Active since September 07, 2007
5642 JONES ST, MILTON, FL 32570(850) 626-7779(850) 626-7171 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2022, Jan 3, 2020 (2 updates tracked since 2020).

About Santa Rosa Counseling Center Llc NPPES

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

SANTA ROSA COUNSELING CENTER LLC (NPI 1962697441) is a healthcare organization registered as a mental health in Milton, Florida and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Milton and lists Karen Alesia Willis, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1962697441
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSANTA ROSA COUNSELING CENTER LLC
Location Address5642 JONES STMilton, FL 32570-2304
Mailing Address5642 Jones StMilton, FL 32570-2304 · (850) 626-7779 · Fax (850) 626-7171
Phone(850) 626-7779
Fax(850) 626-7171
Organization SubpartNo
Authorized OfficialKaren Alesia WillisSenior Partner · (850) 626-7779
Enumeration DateSeptember 7, 2007
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
✔ NPI 1962697441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH8971
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MT2297 (FL)
5642 JONES ST, Milton, FL 32570
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Secondary Practice Location 1

Location 15441 Berryhill RdMilton, FL 32570-8026 · Phone (850) 626-7779 · Fax (850) 626-7171

Other Identifiers 1

Medicaid103671100FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Rosa Counseling Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Santa Rosa Counseling Center LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Mental Health Counselor7
Clinical Social Worker3
Nurse Practitioner3

Clinicians, nearest first (13)

Jennifer Cross, LMHC
Mental Health Counselor
NPI 1477335776
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOSSame address
Jacob Davis, LMHC
Mental Health Counselor
NPI 1770975625
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Casey Fletcher, LCSW
Clinical Social Worker
NPI 1265155667
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Shundra Freeman
Mental Health Counselor
NPI 1093578585
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOSSame address
Jamie Greene, LMHC
Mental Health Counselor
NPI 1952967226
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Erin Haslag, LCSW
Clinical Social Worker
NPI 1376107276
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Hannah Mcguire, LMHC
Mental Health Counselor
NPI 1871993337
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Brian Willis, LMHC
Mental Health Counselor
NPI 1740538511
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Karen Willis, LMHC, LMFT
Mental Health Counselor
NPI 1518096247
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Rachael Wixon, LCSW
Clinical Social Worker
NPI 1992470223
5642 JONES ST
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Stephanie Allan, APRN
Nurse Practitioner
NPI 1326405598
5441 BERRYHILL RD
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Madison Holland, APRN
Nurse Practitioner
NPI 1851228704
5441 BERRYHILL RD
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address
Megan Lawson, APRN
Nurse Practitioner
NPI 1457927386
5441 BERRYHILL RD
Milton, FL 32570
(850) 626-7779
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Santa Rosa Counseling Center LLC's NPI number?

The NPI number for Santa Rosa Counseling Center LLC is 1962697441. It was assigned to this organization in the NPPES registry on September 7, 2007.

Where is Santa Rosa Counseling Center LLC located?

Santa Rosa Counseling Center LLC is located at 5642 Jones St, Milton, FL 32570. The listed phone number is (850) 626-7779.

What is Santa Rosa Counseling Center LLC's specialty?

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

Is Santa Rosa Counseling Center LLC enrolled in Medicare?

Yes. Santa Rosa Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Rosa Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Santa Rosa Counseling Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (7), Clinical Social Worker (3) and Nurse Practitioner (3). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Santa Rosa Counseling Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Santa Rosa Counseling Center LLC 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 Santa Rosa Counseling Center LLC was last updated on August 12, 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.