Emanuel Diaz Rosa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH20357 Issued in FL

Practice address

1787 S Pinellas Ave Ste 400
Tarpon Springs, FL 34689-1929

Phone

(727) 422-0996

NPI assigned

Dec 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindmetrics

  • Mental Health Counselor
  • Palm Harbor, FL
  • NPI 1477302727
  NPD

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1306433107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 LIVING CORAL DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 S PINELLAS AVE STE 400",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891929",
            "telephone_number": "727-422-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ROSA",
        "first_name": "EMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Depalma II, DPT
• Stephen R Depperman, M.D.
• Sydney Desapio
• Stephanie A. Deverick, M.D.
• Elizabeth Mae Di Martino, PMHNP-BC
• Francisco Diaz Jr., PHYSICAL THERAPIST
• Louis Francis Didonato, D.C.
• Jennifer R Diehl
• Anthony Patrick Digiammo, D.C.
• Frank V Dina, O.D.

• Mental Health Counselor in Tarpon Springs, FL
• Providers in Tarpon Springs, 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 Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.