CHRISTA VERMILLERA PHD NPI 1184875312

NPI Information

  • NPI: 1184875312
  • Provider Name: CHRISTA VERMILLERA, PHD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 937 DIXON BLVD
    COCOA, FL
    ZIP 32922
  • Phone: (321) 446-2113

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NPI Details

Christa Vermillera, PHD is a mental health counselor in Cocoa, FL with 8 years of experience. Christa Vermillera, PHD NPI is 1184875312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

937 DIXON BLVD
COCOA, FL
ZIP 32922-806
Phone: (321) 446-2113
Fax: (321) 241-4605

The NPI 1184875312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health9873FLORIDANo
2103K00000XBehavior Analyst1-21-47877FLORIDANo
3101YM0800XCounselorMental HealthMH 9873FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11-21-47877OTHERFLORIDA103K00000X
2772265MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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