Individual provider Active NPI

Dannyelle Driver

  • Counselor
  • Melbourne, FL
National Provider Identifier
1114400850
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH26643 Issued in FL
Practice address
211 W Hibiscus Blvd
Melbourne, FL 32901-3019
Phone
(321) 622-6710
Fax
(321) 622-6715
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH26643 FL Primary

Addresses

Primary practice location

211 W Hibiscus Blvd
Melbourne, FL 32901-3019

Mailing address

211 W Hibiscus Blvd
Melbourne, FL 32901-3019
Phone (321) 622-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250328000684 OK Practitioner - Mental Health Counselor 0840713046 Reassigns benefits to 1 organization
I20260323003336 FL Practitioner - Mental Health Counselor 0840713046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Psychiatric Walk-in CorpGroup PAC ID 7315391679, 13 clinicians

Practice addresses (Care Compare)

1335 Valentine St
Melbourne, FL 32901-3127
Phone (321) 586-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26643FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. CurrentSince Mar 26, 2025 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Mar 26, 2025 Accepting new patients
Pathways Counseling Center, LLC PastSince Dec 28, 2025 Accepting new patients

Locations

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

421 E Thomas Ave
Stillwater, OK 74075
Phone (405) 372-7791

604 S Walnut St
Stillwater, OK 74074
Phone (405) 338-7072

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1114400850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013019",
            "telephone_number": "321-622-6710",
            "fax_number": "321-622-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013019",
            "telephone_number": "321-622-6710",
            "fax_number": "321-622-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "DANNYELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH26643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.