JENNIFER STEVENS NPI 1457098170

NPI Information

  • NPI: 1457098170
  • Provider Name: JENNIFER STEVENS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 640 BREVARD AVE STE 104
    COCOA, FL
    ZIP 32922
  • Phone: (508) 435-8682

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NPI Details

Jennifer Stevens is a mental health counselor in Cocoa, FL. Jennifer Stevens NPI is 1457098170. 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:

640 BREVARD AVE STE 104
COCOA, FL
ZIP 32922-849
Phone: (508) 435-8682

The enumeration date for this NPI number is 5/14/2022 and was last updated on 5/14/2022.

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 HealthFLORIDAYes

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
1839299513OTHERILLINOISBLUE CROSS BLUE SHIELD

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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