Dakota Ray Czerniak, MS
Individual provider Active NPI Mental Health Counselor · Neptune Beach, FL
NPI 1407513245 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1407513245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMH18056 (FL)
- Practice address
- 804 3Rd St
Neptune Beach, FL 32266-5040 - Phone
- (904) 801-9563
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH18056 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | IMH18056 | FL | Yes |
Addresses
Primary practice location
804 3Rd St
Neptune Beach, FL 32266-5040
Mailing address
12603 Ashmore Green Dr N
Jacksonville, FL 32246-7239
Phone (407) 467-0833
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- Laura D'Alesio
- Mary Margaret Dale
- Deekshita Damidi
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All providers in Neptune Beach, FL · Mental Health 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 Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.