Kristina Deveau

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

710 Oakfield Dr
Brandon, FL 33511-4938

Phone

(866) 472-7075

NPI assigned

Feb 17, 2022

Sex

Female

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

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Psych Services LLCGroup PAC ID 8820406093, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

Medicare enrollment (NPD)

Enrolled

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.

• Southeast Psych Services LLC

  • Psychologist
  • Ellicott City, MD
  • NPI 1871188771

  FL, Mental Health

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marion Community Hospital, Inc.

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1841237930
  Care Compare affiliation

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1376298406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 TUBULAR RUN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382760",
            "telephone_number": "813-785-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114938",
            "telephone_number": "866-472-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEAU",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Michael Dessauer, PA-C
• Destin Family Solutions
• Marietha Destin, LMFT
• Destiny Quality Care, LLC
• Rachel Lee Deurloo, BCABA
• Nicole M Devine-Horner, LMT
• Charles Durwood Devine, M.D.
• Shelby Durrance Devinney, PA-C
• Jacquelyn Marie Devito, NP
• Ethan Deweerd, D.C

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, 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 May 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.