Active NPI
Mary Dreggors, LMHC
- Mental Health Counselor
- Bunnell, FL
National Provider Identifier
1710680418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19786
- Practice address
- 3008 County Road 13
Bunnell, FL 32110-4414 - Phone
- (386) 295-2911
- NPI assigned
- Mar 23, 2023
- Last updated
- Mar 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19786 | FL | Primary |
Addresses
Primary practice location
3008 County Road 13
Bunnell, FL 32110-4414
Mailing address
3008 County Road 13
Bunnell, FL 32110-4414
Phone (386) 295-2911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19786 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1710680418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 COUNTY ROAD 13",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321104414",
"telephone_number": "386-295-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 COUNTY ROAD 13",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321104414",
"telephone_number": "386-295-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREGGORS",
"first_name": "MARY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "19786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bunnell, FL
- Christopher Manly Deck, COTA/L
- Delta Health Group Inc (Flagler Pines)
- Dewey World Recovery Community Inc
- Francine T Dias, RN
- Discount Medical Supply, Inc (Discount Medical Supply)
- Stephanie Mouy Ear, RN
- Easterseals Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.