Organization Active NPI

Cove Behavioral Health, Inc.

Doing business as Dacco

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1487687273
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COVE BEHAVIORAL HEALTH, INC.
Doing business as
Dacco
Practice address
4422 E Columbus Drive
Tampa, FL 33605
Phone
(813) 384-4216
Fax
(813) 623-3730
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Mrs. Deanna Obregon
Title
Ceo
Phone
(813) 384-4161

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X 858012643687 FL
Voluntary or Charitable Agency 251V00000X 858012643687C2 FL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4422 E Columbus Drive
Tampa, FL 33605

Mailing address

4422 E Columbus Drive
Tampa, FL 33605
Phone (813) 384-4216

Other identifiers 5

IdentifierTypeStateIssuer
060650200MedicaidFL
060650203MedicaidFL
060650202MedicaidFL
913334800MedicaidFL
060650204MedicaidFL

Other names 2

  • DACCO Doing business as
  • Drug Abuse Comprehensive Coordinating Office Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Opioid treatment program
Medicare-enrolled since Apr 18, 2024

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120209000599 FL Part B Supplier - Clinic/Group Practice 9335294321 Receives reassigned benefits from 3 practitioners
Practice locations: Lakeland, FL; Tampa, FL
O20200124002254 FL Part B Supplier - Opioid Treatment Program (Otp) 9335294321 1 other NPI on this enrollment
Practice locations: Tampa, FL; Lakeland, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cove Behavioral Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1487687273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 E COLUMBUS DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33605",
            "telephone_number": "813-384-4216",
            "fax_number": "813-623-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 E COLUMBUS DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33605",
            "telephone_number": "813-384-4216",
            "fax_number": "813-623-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "OBREGON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-384-4161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "858012643687",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "858012643687C2",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060650200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060650203",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060650202",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913334800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060650204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DACCO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DACCO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drug Abuse Comprehensive Coordinating Office Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.