Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Cusumano, MA

Individual provider Case Manager/Care Coordinator · NPI 1104308675

Justin Cusumano, MA is a Mental Health Counselor in Melbourne, Florida. Qualified in 2020, 6 years ago. Practices with Adult and Child Counseling and Psychiatric Center, PA, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

5545 N Wickham Rd Ste 110
Melbourne, FL 32940-7323
Phone: (321) 872-4660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1104308675
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address3466 Fort Nelson Ln, Melbourne, FL 32934-2902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Adult And Child Counseling And Psychiatric Center, P.A — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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