Active NPI
Dina Hargrave, MS, ED.S, LMHC, CMHC
- Mental Health Counselor
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23154
- Practice address
- 3636 Galileo Dr Ste 102
Trinity, FL 34655-1852 - Phone
- (727) 261-0508
- Fax
- (727) 616-4707
- NPI assigned
- Mar 2, 2015
- Last updated
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9498105-6004 | UT | |
| Mental Health Counselor | 101YM0800X | MH23154 | FL | Primary |
Addresses
Primary practice location
3636 Galileo Dr Ste 102
Trinity, FL 34655-1852
Mailing address
3636 Galileo Dr Ste 102
Trinity, FL 34655-1852
Phone (727) 261-0508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
3636 Galileo Dr
Suite 102
Trinity, FL 34655-1852
Phone (727) 261-0508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23154 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Mental Health LLC | Mental Health | Current | Accepting new patients |
| Be Better Utah | Mental Health | Current | Accepting new patients |
| Growth and Acceptance LLC | Current | Accepting new patients |
Locations
3636 Galileo Dr
Ste 102
Trinity, FL 34655
Phone (727) 261-0508
2653 Bruce B Downs Blvd
Unit 108141
Wesley Chapel, FL 33544
30792 Wesley Chapel Blvd
Wesley Chapel, FL 33543
Phone (813) 701-5250
563 W 500 S
Ste 220
Bountiful, UT 84010
Phone (801) 441-4278
Organizations & group practices 3
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.
-
dba Ellie Mental Health - New Port Richey - Trinity
- Mental Health Counselor
- New Port Richey, FL
- NPI 1003691163
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearfield, UT
- NPI 1902480320
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1598157489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 GALILEO DR STE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551852",
"telephone_number": "727-261-0508",
"fax_number": "727-616-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 GALILEO DR STE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551852",
"telephone_number": "727-261-0508",
"fax_number": "727-616-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGRAVE",
"first_name": "DINA",
"credential": "MS, ED.S, LMHC, CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2024-04-18",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9498105-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.