Individual provider Active NPI

Emilia Rosa Dasilva, LMHC

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1053946855
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17513 Issued in FL
Practice address
1450 N US Highway 1 Ste 500
Ormond Beach, FL 32174-6623
Phone
(386) 449-8600
Fax
(386) 313-6980
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17513 FL Primary

Addresses

Primary practice location

1450 N US Highway 1 Ste 500
Ormond Beach, FL 32174-6623

Mailing address

6209 Dunwoody Gables Dr
Atlanta, GA 30338-6970
Phone (954) 395-7910

Other identifiers 1

IdentifierTypeStateIssuer
1760980502OtherFLEMPLOYER NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@oceanvistacounsel.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH17513FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1053946855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 DUNWOODY GABLES DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386970",
            "telephone_number": "954-395-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N US HIGHWAY 1 STE 500",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746623",
            "telephone_number": "386-449-8600",
            "fax_number": "386-313-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "EMILIA",
        "middle_name": "ROSA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER NPI",
            "identifier": "1760980502",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@oceanvistacounsel.com",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1450 N US Highway 1 Ste 500",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321746623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.