Individual provider Active NPI

Danielle C Proch, LMHC, NCC

  • Mental Health Counselor
  • Palm Harbor, FL
National Provider Identifier
1154813822
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16044 Issued in FL
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

Updated by the provider on Mar 6, 2021

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 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

IdentifierTypeStateIssuer
L18000138775OtherFL1154813822
100314146821Other1154813822

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5092611384, 612 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

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

OrganizationSpecialtyStatusNew patients
Center of Resilience CurrentSince Sep 28, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 20, 2024 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

  • Direct secure messaging: danielleproch@tdh.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.