Della Adkins, LPCC
Individual provider Active NPI Professional Counselor · Venice, FL
NPI 1285087965 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1285087965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.1800745 (OH)
- Practice address
- 166 Center Rd
Venice, FL 34285-5501 - Phone
- (740) 388-8567
- Fax
- (740) 388-8566
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Restore Medical Partners PLLC
Practice addresses (Care Compare)
333 Tamiami TRL S
Suite 101
Venice, FL 34285-2425
Phone (941) 375-3006
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240819001562 | FL | Practitioner - Mental Health Counselor | 6800334129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1800745 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Medical Partners, PLLC | Current |
Accepting new patients | |
| Restore Medical Partners, PLLC | Current |
Accepting new patients |
Locations
333 Tamiami Trl S
Ste 101
Venice, FL 34285
Phone (941) 375-3006
333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006
333 Tamiami Trl S
Ste 365
Venice, FL 34285
Phone (941) 441-9171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1800745 | OH | Yes |
Addresses
Primary practice location
166 Center Rd
Venice, FL 34285-5501
Mailing address
1900 Tangelo Cir
Englewood, FL 34223-1541
Other practice location 1
1451 10th St
Sarasota, FL 34236-4048
Phone (740) 532-1613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0266222 | Medicaid | OH |
Other providers in Venice, FL
- Monica Adams
- Scott Adams
- Shelley Noella Adams I
- Thomas Alan Adams
- Adaptability OT LLC
- Joseph Matthew Adkins
- Advanced Cardiac and Vascular Centers of Florida PLLC
- Advanced Health Associates
- Advanced Health Cardiology, LLC
- Advanced Orthopedic Center of Charlotte County, PA
All providers in Venice, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.