Individual provider Active NPI

Briana Renee Coffman Dicesare, LMHC

  • Mental Health Counselor
  • Winter Haven, FL
National Provider Identifier
1487286472
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17551 Issued in FL
Practice address
650 Avenue K NW
Winter Haven, FL 33881-4032
Phone
(863) 294-7900
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 MH17551 FL Primary

Addresses

Primary practice location

650 Avenue K NW
Winter Haven, FL 33881-4032

Mailing address

1201 1St St S
Winter Haven, FL 33880-3904
Phone (863) 294-7062

Other practice location 1

1201 1st St S
Winter Haven, FL 33880-3904
Phone (863) 294-7062

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Briana.DiCesareLMHC@direct.mybaycare.org Health Information Exchange (HIE) WINTER HAVEN HOSPITAL INC

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
I20231130004012 FL Practitioner - Mental Health Counselor 4587012547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17551FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Haven Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
Tri County Human Services, Inc. PastSince Feb 9, 2020 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1501 1st St S
Winter Haven, FL 33880
Phone (813) 738-6689

1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062

Interoperability endpoints

  • Direct secure messaging: briana.dicesarelmhc@direct.mybaycare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1487286472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803904",
            "telephone_number": "863-294-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 AVENUE K NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814032",
            "telephone_number": "863-294-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803904",
            "country_code": "US",
            "telephone_number": "863-294-7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN DICESARE",
        "first_name": "BRIANA",
        "middle_name": "RENEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Briana.DiCesareLMHC@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "WINTER HAVEN HOSPITAL INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.