Darien Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DARIEN WELLNESS

Practice address

618 E South St Ste 500
Orlando, FL 32801-2986

Phone

(203) 883-0464

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David L EzellNPI 1750687521

Title

Ceo

Phone

(203) 883-0464

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Darien Wellness

  • Mental Health Counselor
  • Darien, CT
  • NPI 1710344809

  4981052024

  Same PAC ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Ezell, LPC

  • Mental Health Counselor
  • Fairfield, CT
  • NPI 1750687521

  Professional

  NPD Authorized official
• Ashley Dawn Peace, LPC, LMHC

  • Mental Health Counselor
  • Darien, CT
  • NPI 1194233726

  FL

  Medicare reassignment

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1871210252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 35651",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E SOUTH ST STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012986",
            "telephone_number": "203-883-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-883-0464"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Darbouze
• Regena Darbouze
• Kristin Nichole Darby-Brown
• Daniel Francisco Dardiz, M.A.,CCC-SLP
• Katherine S Darger, MD
• Darin Counseling, LLC
• Sharon Elizabeth Darin, MA, RMHCI
• Keren Debra Darius, MD
• Darlene Eckert Pediatrics (Elite Care Pediatrics)
• Darlene Go MD PA

• Professional Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.