PRESBYTERIAN COUNSELING CENTER INC – Voluntary or Charitable Agency, NPI 1023277571
Voluntary or Charitable Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PRESBYTERIAN COUNSELING CENTER INC
4662 Clyde Morris Blvd
Port Orange, FL 321297450
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
3600 Aloma Ave
Oviedo, FL 327658534
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
509 Magnolia St
New Smyrna Beach, FL 321687340
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
3232 La Paloma Ave
Daytona Beach Shores, FL 321186248
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
156 Florida Park Dr
Palm Coast, FL 321378317
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
1035 W Granada Blvd
Ormond Beach, FL 321749169
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
105 Amsden Rd
Ormond Beach, FL 321764712
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
386 S ATLANTIC AVE # 208
ORMOND BEACH, FL 321767143
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Mailing
121 W PENNSYLVANIA AVE
DELAND, FL 327203429
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Location
430, Braddock Avenue, Daytona Beach, Volusia County, Florida, 32118, United States
DAYTONA BEACH, FL 321184616
Phone: (386) 258-1618
Fax: (386) 253-4215
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (45 days ago).
Enrollment records
1
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200203001460 | O | Clinic/Group Practice | FL | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32129)
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