Barbara Defazzio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC6336 Issued in FL

Practice address

503 N Pine Meadow Dr
Debary, FL 32713-2365

Phone

(386) 473-4566

NPI assigned

Apr 2, 2009

Last updated

Apr 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighbor to Family

  • Mental Health Counselor
  • Debary, FL
  • NPI 1689760837
  Authorized official Same address or phone
• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1215179403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N PINE MEADOW DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132365",
            "telephone_number": "386-473-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N PINE MEADOW DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132365",
            "telephone_number": "386-473-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFAZZIO",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MHC6336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760556100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon A Day Osteen, D.M.D.
• Debary Chiropractic Center Corp
• Debary Dentistry LLC
• Debary Family Practice
• Debary Manor Operations LLC
• Michael Edward Degrood, D.M.D.
• Nayadit Del Toro Benitez
• Delta Health Group Inc (DeBary Manor)
• Deltona Counseling Associates, P.a.
• Krista Denoff, RBT

• Mental Health Counselor in Debary, FL
• Providers in Debary, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.