Individual provider Active NPI

Allen Drozd, LMHC, NCC

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1699908186
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0003697 Issued in FL
Practice address
24 Cathedral PL
Suite 400
St Augustine, FL 32084-4473
Phone
(904) 687-1592
Fax
(866) 902-0819
NPI assigned
Aug 31, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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 MH0003697 FL Primary

Addresses

Primary practice location

24 Cathedral PL
Suite 400
St Augustine, FL 32084-4473

Mailing address

303B Anastasia Blvd
#159
St Augustine, FL 32080-4506
Phone (904) 687-1592

Other identifiers 1

IdentifierTypeStateIssuer
Z7082OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH0003697FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Kadie Group, Inc Mental Health Current Accepting new patients

Locations

24 Cathedral Pl
Ste 400
St Augustine, FL 32084
Phone (904) 687-1592

303B Anastasia Blvd
St Augustine, FL 32080
Phone (904) 471-4775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1699908186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303B ANASTASIA BLVD",
            "address_2": "#159",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804506",
            "telephone_number": "904-687-1592",
            "fax_number": "866-902-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CATHEDRAL PL",
            "address_2": "SUITE 400",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844473",
            "telephone_number": "904-687-1592",
            "fax_number": "866-902-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZD",
        "first_name": "ALLEN",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0003697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z7082",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.