Individual provider Active NPI

Patricia Duff-Fleming

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1194336586
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH19819 Issued in FL
Practice address
259 Bill France Blvd Ste 200
Daytona Beach, FL 32114-1316
Phone
(386) 405-4156
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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 IMH19819 FL Primary

Addresses

Primary practice location

259 Bill France Blvd Ste 200
Daytona Beach, FL 32114-1316

Mailing address

150 Limewood PL Unit 6
Ormond Beach, FL 32174-2669
Phone (386) 405-4156

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
I20240704000722 FL Practitioner - Mental Health Counselor 9638613375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH19819FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connection East, LLC CurrentSince Feb 18, 2024 Accepting new patients
Counseling & Disability Services, LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

1635 S Ridgewood Ave
Ste 225
South Daytona, FL 32119
Phone (386) 788-5021

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1194336586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LIMEWOOD PL UNIT 6",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742669",
            "telephone_number": "386-405-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BILL FRANCE BLVD STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141316",
            "telephone_number": "386-405-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF-FLEMING",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.