Individual provider Active NPI

Ryan Celestina, M.ED.

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1477183358
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH14766 Issued in FL
Practice address
11440 Okeechobee Blvd Ste 205B
Royal Palm Beach, FL 33411-8726
Phone
(954) 817-5825
NPI assigned
Jan 20, 2020
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH14766 FL Primary

Addresses

Primary practice location

11440 Okeechobee Blvd Ste 205B
Royal Palm Beach, FL 33411-8726

Mailing address

11440 Okeechobee Blvd Ste 205B
Royal Palm Beach, FL 33411-8726

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250226003161 FL Practitioner - Mental Health Counselor 6709306210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - Florida IncGroup PAC ID 5496173577, 85 clinicians

Practice addresses (Care Compare)

1601 Belvedere Rd
Suite S 204
West Palm Beach, FL 33406-1541
Phone (561) 536-5293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
IMH14766FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Florida Inc Mental Health CurrentSince Feb 24, 2025 Accepting new patients
Positive Start Counseling Services, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514

11440 Okeechobee Blvd
Ste 205B
Royal Palm Beach, FL 33411
Phone (561) 310-5475

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1601 Belvedere Rd
Ste S204
West Palm Beach, FL 33406
Phone (561) 536-5293

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1477183358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 OKEECHOBEE BLVD STE 205B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 OKEECHOBEE BLVD STE 205B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118726",
            "telephone_number": "954-817-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTINA",
        "first_name": "RYAN",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.