Individual provider Active NPI

Magdala Antoine Dulcio, L.M.H.C.

  • Mental Health Counselor
  • Brandon, FL
National Provider Identifier
1881867828
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8997 Issued in FL
Practice address
772 W Lumsden Rd
Brandon, FL 33511-6260
Phone
(813) 685-6700
Fax
(813) 413-7979
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8997 FL Primary

Addresses

Primary practice location

772 W Lumsden Rd
Brandon, FL 33511-6260

Mailing address

772 W Lumsden Rd
Brandon, FL 33511-6260
Phone (813) 685-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH8997FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Voice of Distress Relieved, Inc Mental Health Past Accepting new patients
Oasis Counseling, LLC Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1881867828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116260",
            "telephone_number": "813-685-6700",
            "fax_number": "813-413-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116260",
            "telephone_number": "813-685-6700",
            "fax_number": "813-413-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULCIO",
        "first_name": "MAGDALA",
        "middle_name": "ANTOINE",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.