Active NPI
Darly Sebastian
- Mental Health Counselor
- Spring, TX
National Provider Identifier
1861018095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 512 Jeremy CT
Spring, TX 77386-1886 - Phone
- (832) 302-4072
- NPI assigned
- Jun 23, 2020
- Last updated
- Sep 12, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
512 Jeremy CT
Spring, TX 77386-1886
Mailing address
512 Jeremy CT
Spring, TX 77386-1886
Phone (832) 302-4072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreavita Counseling Coaching and Consulting Inc | Mental Health | Current | Accepting new patients |
| The Shape of Wellness | Single Specialty | Current | Accepting new patients |
| Pecan Branch Counseling, PLLC | Single Specialty | Past | Accepting new patients |
Locations
1070 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 504-7121
1006 Windsor Lakes Blvd
Ste 200
Conroe, TX 77384
Phone (281) 292-7246
Organizations & group practices 3
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.
-
- Counselor
- W Hollywood, CA
- NPI 1104694116
FL, Mental Health, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1861018095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 JEREMY CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773861886",
"telephone_number": "832-302-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 JEREMY CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773861886",
"telephone_number": "832-302-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "DARLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.