Christa Vermillera, PhD
Counselor, Mental Health in Cocoa, FL. Individual provider (NPI-1).
NPI number1184875312
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1184875312
- Entity type
- Individual (NPI-1)
- Name
- Christa Vermillera
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2008
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH 9873 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | 9873 | FL | |
| 103K00000X | Behavior Analyst | 1-21-47877 | FL |
Practice location
937 Dixon BlvdCocoa, FL 32922-6806
Phone 321-446-2113 · Fax 321-241-4605
Mailing address
937 Dixon BlvdCocoa, FL 32922-6806
Phone 321-446-2113 · Fax 321-241-4605
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 76 Mental Health Counselor providers in Cocoa · All 833 providers in Cocoa
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