Individual provider Active NPI

Dallas Drawdy, AS/BLS

  • Mental Health Counselor
  • Fort Pierce, FL
National Provider Identifier
1144338385
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
404 Ixoria Ave
Fort Pierce, FL 34982-6250
Phone
(772) 468-3910
Fax
(772) 468-5620
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 Primary

Addresses

Primary practice location

404 Ixoria Ave
Fort Pierce, FL 34982-6250

Mailing address

7406 Winter Garden Pkwy
Fort Pierce, FL 34951-2707
Phone (772) 468-3910

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
Credentials
Associate of Science

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons of the Treasure Coast, Inc PastSince Sep 23, 2021 Accepting new patients
New Horizons of the Treasure Coast Inc Past Accepting new patients

Organizations & group practices 2

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144338385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 WINTER GARDEN PKWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512707",
            "telephone_number": "772-468-3910",
            "fax_number": "772-468-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 IXORIA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826250",
            "telephone_number": "772-468-3910",
            "fax_number": "772-468-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAWDY",
        "first_name": "DALLAS",
        "name_prefix": "Ms.",
        "credential": "AS/BLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.