Individual provider Active NPI

Diona Dominga Pauig-Breese, LMHC

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1184837502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 4681 Issued in FL
Practice address
2623 McCormick Dr
Ste 2
Clearwater, FL 33759-1046
Phone
(727) 510-1634
Fax
(727) 772-6033
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 MH 4681 FL Primary

Addresses

Primary practice location

2623 McCormick Dr
Ste 2
Clearwater, FL 33759-1046

Mailing address

873 Belted Kingfisher Dr S
Palm Harbor, FL 34683-6678
Phone (727) 510-1634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 4, 2026 through May 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH 4681FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184837502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 BELTED KINGFISHER DR S",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836678",
            "telephone_number": "727-510-1634",
            "fax_number": "727-772-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 MCCORMICK DR",
            "address_2": "STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591046",
            "telephone_number": "727-510-1634",
            "fax_number": "727-772-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUIG-BREESE",
        "first_name": "DIONA",
        "middle_name": "DOMINGA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.