Look up the most recent NPI and PECOS records

Amy Rose Hertzberg-Meade

Counselor

Behavioral Health & Social Service Providers

1423 Oakfield Dr, Brandon, FL 33511-2801

PECOS Enrollment

This provider is enrolled in PECOS as AMY HERTZBERG-MEADE.

Based on the most recent information from CMS, provider Amy Rose Hertzberg-Meade is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1689431298
Provider Type
Individual
Full Name
Hertzberg-Meade, Amy Rose
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/29/2024
Last Updated
2/29/2024

Contact Information

Practice Location

1423 Oakfield Dr, Brandon, FL 33511-2801

(813) 753-0866

Unlisted Fax

Mailing Location

1014 Kay Jean Dr, Valrico, FL 33594-4628

(813) 597-9309

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH23171 Florida

Provider Identifiers

ID	Description	Issuer
ID 1689320756	Description Other	Issuer MENTAL HEALTH

Amy Rose Hertzberg-Meade

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Huggins, John Thomas

Bullis-Caballos, Phoenix

Mccormack, Elizabeth

Keovongsa, Jennifer Hummer

Quiles, Christian D.

Petrovich, Olivera

Vita Serenity Counseling Llc

Diak, Teresa 'Terry'

Gilley, Sandra Gail

Kondratiev, Anastassia