Individual provider Active NPI

David Denavarra, MS ED, LMFT

  • Marriage & Family Therapist
  • Tampa, FL
National Provider Identifier
1760853766
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2601 Issued in FL
Practice address
13674 W Hillsborough Ave
Tampa, FL 33635-9638
Phone
(813) 851-3927
NPI assigned
Oct 15, 2015
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2601 FL Primary

Addresses

Primary practice location

13674 W Hillsborough Ave
Tampa, FL 33635-9638

Mailing address

11970 80TH Ave
Seminole, FL 33772-4507
Phone (727) 612-0340

Other practice location 1

1100 Clearwater Largo Rd N
Largo, FL 33770-4131
Phone (727) 518-6444

Other identifiers 1

IdentifierTypeStateIssuer
13639368OtherCAQH

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
I20231120001789 FL Practitioner - Marriage and Family Therapist 5698120038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quest for Meaning LLCGroup PAC ID 2961857305, 2 clinicians

Practice addresses (Care Compare)

10450 66TH St N
Unit 1
Pinellas Park, FL 33782-2340
Phone (727) 386-8791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MT2601FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coaction Investments Inc. CurrentSince Jan 1, 2024 Accepting new patients
Quest for Meaning LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

10450 66th St N
Unit 1
Pinellas Park, FL 33782
Phone (727) 386-8791

13674 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 773-5031

Organizations & group practices 2

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1760853766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 80TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724507",
            "telephone_number": "727-612-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13674 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359638",
            "telephone_number": "813-851-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Clearwater Largo Rd N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337704131",
            "country_code": "US",
            "telephone_number": "727-518-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENAVARRA",
        "first_name": "DAVID",
        "credential": "MS ED,  LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13639368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.