Michele Diana Della Costa, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4389 Issued in FL

Practice address

1415 37TH Street CT W
Bradenton, FL 34205-2268

Phone

(941) 504-3316

NPI assigned

Jul 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Telos Health Systems FL LLCGroup PAC ID 6901329556, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Telos Health Systems FL LLC

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1801624242
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1861239428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 37TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052268",
            "telephone_number": "941-504-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 37TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052268",
            "telephone_number": "941-504-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA COSTA",
        "first_name": "MICHELE",
        "middle_name": "DIANA",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele G. Delancy, BS,LPN
• Janet M Delaney, ARNP
• Deldar Inc
• Lionel Delgado Hernandez
• Danny V Delgado, PA
• Valentina Della Volpe, OTA
• Carolyn L Deloach, CNA
• Loretta Michele Deloach
• Allan Delrosario, M.D.
• Delta Medical Associates, LLC

• Marriage & Family Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.