Individual provider Active NPI

Bryan Daniel Coviello, RMHCI

  • Mental Health Counselor
  • Deerfield Beach, FL
National Provider Identifier
1679205470
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH20418 Issued in FL
Practice address
New Directions for Young Adults 3275 W Hillsboro Blvd S
Deerfield Beach, FL 33442-3344
Phone
(954) 571-5102
NPI assigned
Jun 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 IMH20418 FL Primary

Addresses

Primary practice location

New Directions for Young Adults 3275 W Hillsboro Blvd S
Deerfield Beach, FL 33442-3344

Mailing address

3275 W Hillsboro Blvd Ste 110
Deerfield Beach, FL 33442-9410
Phone (954) 571-5102

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://dya11191.kipuworks.com/

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
I20240509001577 FL Practitioner - Mental Health Counselor 5597106492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew Pleener, MD, P.a.Group PAC ID 9537519020, 18 clinicians

Practice addresses (Care Compare)

9100 Conroy Windermere Rd
Suite 200
Windermere, FL 34786-8431
Phone (407) 462-1254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH20418FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Pleener, MD, P.a. CurrentSince Mar 16, 2024 Accepting new patients

Locations

9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042

Organizations & group practices 1

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1679205470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD STE 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429410",
            "telephone_number": "954-571-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW DIRECTIONS FOR YOUNG ADULTS 3275 W HILLSBORO BLVD S",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423344",
            "telephone_number": "954-571-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVIELLO",
        "first_name": "BRYAN",
        "middle_name": "DANIEL",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dya11191.kipuworks.com/",
            "affiliation": "N",
            "address_1": "New Directions For Young Adults 3275 W Hillsboro Blvd S",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334423344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.