Active NPI
Danielle C Proch, LMHC, NCC
- Mental Health Counselor
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16044
- Practice address
- 334 E Lake Rd # 280
Palm Harbor, FL 34685-2427 - Phone
- (888) 732-2313
- Fax
- (727) 228-2271
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16044 | FL | Primary |
Addresses
Primary practice location
334 E Lake Rd # 280
Palm Harbor, FL 34685-2427
Mailing address
334 E Lake Rd # 280
Palm Harbor, FL 34685-2427
Phone (888) 732-2313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L18000138775 | Other | FL | 1154813822 |
| 100314146821 | Other | 1154813822 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://hooks.slack.com/services/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 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231128002357 | FL | Practitioner - Mental Health Counselor | 1557719796 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Personal Recovery Network LLCGrow Healthcare Group PA
Practice addresses (Care Compare)
260 Lookout PL
Maitland, FL 32751-4485
34650 N US Hwy 19 N
Suite 206
Palm Harbor, FL 34684-2155
Phone (727) 493-9940
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center of Resilience | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3905 Tampa Rd
Unit 1665
Oldsmar, FL 34677
Interoperability endpoints
- danielleproch@tdh.allscriptsdirect.net
- fbh.danielleproch@141363.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1154813822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 E LAKE RD # 280",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852427",
"telephone_number": "888-732-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 E LAKE RD # 280",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852427",
"telephone_number": "888-732-2313",
"fax_number": "727-228-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCH",
"first_name": "DANIELLE",
"middle_name": "C",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1154813822",
"identifier": "L18000138775",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1154813822",
"identifier": "100314146821",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://hooks.slack.com/services/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",
"affiliation": "N",
"endpointDescription": "Inner Peace Endpoint Slack Direct Message & HIE",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "334 E Lake Rd # 280",
"city": "Palm Harbor",
"state": "FL",
"country_code": "US",
"postal_code": "346852427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.