NPIMap

Organization Active NPI

Melissa Dardiz ,LLC

  • Counselor
  • Spring Hill, FL
National Provider Identifier
1487189619
Registry record updated Apr 25, 2017
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Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH15044 Issued in FL
Legal business name
MELISSA DARDIZ ,LLC
Doing business as
Melissa Dardiz, LLc
Practice address
4090 Deltona Blvd
Spring Hill, FL 34606-2203
Phone
(352) 340-7917
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Mrs. Melissa Ann Dardiz, LMHC
Title
Owner/Operator
Phone
(352) 340-7917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X MH15044 FL Primary

Addresses

Primary practice location

4090 Deltona Blvd
Spring Hill, FL 34606-2203

Mailing address

4090 Deltona Blvd
Spring Hill, FL 34606-2203
Phone (352) 340-7917

Other names 1

  • Melissa Dardiz, LLc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1487189619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062203",
            "telephone_number": "352-340-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062203",
            "telephone_number": "352-340-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA DARDIZ ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "DARDIZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "352-340-7917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH15044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Dardiz, LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.