Active NPI
Dreavita Counseling Coaching and Consulting Inc
- Counselor
- W Hollywood, CA
National Provider Identifier
1104694116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- DREAVITA COUNSELING COACHING AND CONSULTING INC
- Practice address
- 1227 N Genesee Ave Apt 5
W Hollywood, CA 90046-4730 - Phone
- (813) 690-5092
- NPI assigned
- Dec 19, 2023
- Last updated
- Dec 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Piazza, LMHC
- Title
- Ceo/Executive Director
- Phone
- (813) 690-5092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Corporate Health Clinic/Center | 261QC1800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
1227 N Genesee Ave Apt 5
W Hollywood, CA 90046-4730
Mailing address
3911 Concord Pike Unit 8030
Wilmington, DE 19803-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CO, FL, CA, CT, TX
Enrollment records 6
National Provider Directory
National Provider DirectoryLocations
105 N 1st St
San Jose, CA 95113
Phone (669) 280-6546
105 N 1st St
#1710
San Jose, CA 95113
Phone (813) 690-5092
320 Boston Post Rd
Ste 180101
Darien, CT 06820
Phone (813) 690-5092
3911 Concord Pike
Unit 8030
Wilmington, DE 19803
Phone (215) 485-2451
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Jacksonville Beach, FL
- NPI 1134627847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1104694116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 CONCORD PIKE UNIT 8030",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198036044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 N GENESEE AVE APT 5",
"city": "W HOLLYWOOD",
"state": "CA",
"postal_code": "900464730",
"telephone_number": "813-690-5092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAVITA COUNSELING COACHING AND CONSULTING INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "PIAZZA",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "813-690-5092",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in W Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.