Individual provider Active NPI

Darrell Keith Ivey, MSW, LMHC, CEAP, SAP

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1750463840
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 1824 Issued in FL
Practice address
207 Office Plaza Dr
Tallahassee, FL 32301-2807
Phone
(850) 942-6000
NPI assigned
Oct 19, 2006
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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 MH 1824 FL Primary

Addresses

Primary practice location

207 Office Plaza Dr
Tallahassee, FL 32301-2807

Mailing address

207 Office Plaza Dr
Tallahassee, FL 32301-2807
Phone (850) 942-6000

Other identifiers 1

IdentifierTypeStateIssuer
Z2349OtherFLBCBS

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
MH 1824FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1750463840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OFFICE PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012807",
            "telephone_number": "850-942-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OFFICE PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012807",
            "telephone_number": "850-942-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "DARRELL",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MSW, LMHC, CEAP, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 1824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z2349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.