Individual provider Active NPI

Emily Davine

  • Marriage & Family Therapist
  • Coral Springs, FL
National Provider Identifier
1912737909
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT3894 Issued in FL
Practice address
3000 NW 101St LN # 202
Coral Springs, FL 33065-3930
Phone
(561) 408-1098
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT3894 FL Primary

Addresses

Primary practice location

3000 NW 101St LN # 202
Coral Springs, FL 33065-3930

Mailing address

10040 Boca Vue Dr Apt 209
Boca Raton, FL 33428-3623
Phone (818) 455-5718

Other practice location 1

10040 Boca Vue Dr Apt 209
Boca Raton, FL 33428-3623
Phone (818) 455-5718

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251129000172 FL Practitioner - Marriage and Family Therapist 7214420108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Counseling and Consulting, IncGroup PAC ID 7315387008, 12 clinicians

Practice addresses (Care Compare)

3000 NW 101St LN
Suite 202
Coral Springs, FL 33065-3930
Phone (561) 408-1098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMT3894FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling & Consulting, Inc. CurrentSince Nov 19, 2025 Accepting new patients

Locations

6971 N Federal Hwy
Ste 206
Boca Raton, FL 33487
Phone (561) 408-1098

3000 NW 101st Ln
Ste 202
Coral Springs, FL 33065
Phone (561) 320-2232

Organizations & group practices 1

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1912737909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 BOCA VUE DR APT 209",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283623",
            "telephone_number": "818-455-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NW 101ST LN # 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653930",
            "telephone_number": "561-408-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10040 Boca Vue Dr Apt 209",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334283623",
            "country_code": "US",
            "telephone_number": "818-455-5718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVINE",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.