Organization Active NPI

Dove Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1457035008
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DOVE BEHAVIORAL HEALTH LLC
Practice address
514 NE 16TH PL Unit 4-5
Cape Coral, FL 33909-2213
Phone
(239) 445-3683
Fax
(239) 829-9121
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Jose CrossierNPI 1396209649
Title
Aprn
Phone
(239) 445-3683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

514 NE 16TH PL Unit 4-5
Cape Coral, FL 33909-2213

Mailing address

514 NE 16TH PL Unit 4-5
Cape Coral, FL 33909-2213
Phone (239) 445-3683

Other practice location 1

24301 Walden Center Dr Ste 103
Bonita Springs, FL 34134-4965
Phone (239) 445-3683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706001565 FL Part B Supplier - Clinic/Group Practice 8628437803 Receives reassigned benefits from 8 practitioners
Practice locations: Bonita Springs, FL; Cape Coral, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2310161Dove Behavioral Health LLC514 NE 16TH Place - Unit 4-5, Cape Coral, FL 33909Certificate of waiverAug 27, 2026
10D2323680Dove Behavioral Health LLC24301 Walden Center Drive, Suite 103, Bonita Springs, FL 34134Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

24301 Walden Center Dr
Ste 103
Bonita Springs, FL 34134
Phone (239) 445-3683

514 NE 16th Pl
Ste 4
Cape Coral, FL 33909

514 NE 16th Pl
Unit 45
Cape Coral, FL 33909
Phone (239) 445-3683

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1457035008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 NE 16TH PL UNIT 4-5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092213",
            "telephone_number": "239-445-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 NE 16TH PL UNIT 4-5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092213",
            "telephone_number": "239-445-3683",
            "fax_number": "239-829-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24301 Walden Center Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344965",
            "country_code": "US",
            "telephone_number": "239-445-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOVE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "CROSSIER",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "239-445-3683"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.