NPIMap

Organization Active NPI

Emerald Coast Counseling Center PA

  • Mental Health Counselor
  • Destin, FL
National Provider Identifier
1831174705
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMERALD COAST COUNSELING CENTER PA
Practice address
215 Mountain Drive
Suite 106
Destin, FL 32541-2346
Phone
(850) 837-9100
Fax
(850) 837-3774
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Mrs. Diana L Sandevski, LMHCNPI 1669151874
Title
Owner
Phone
(850) 837-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

215 Mountain Drive
Suite 106
Destin, FL 32541-2346

Mailing address

215 Mountain Dr Ste 106
Destin, FL 32541-2346
Phone (850) 837-9100

Other identifiers 1

IdentifierTypeStateIssuer
X0898OtherFLBCBS

Other names 1

  • Destin Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000787 FL Part B Supplier - Clinic/Group Practice 9032100839 Practice locations: Destin, FL

National Provider Directory

National Provider Directory

Locations

215 Mountain Dr
Ste 106
Destin, FL 32541
Phone (850) 837-9100

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1831174705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN DR STE 106",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412346",
            "telephone_number": "850-837-9100",
            "fax_number": "850-837-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN DRIVE",
            "address_2": "SUITE 106",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412346",
            "telephone_number": "850-837-9100",
            "fax_number": "850-837-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST COUNSELING CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "SANDEVSKI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-837-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X0898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destin Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.