Individual provider Active NPI

Dwan Cortell Pinckney, LMHC

  • Mental Health Counselor
  • Venice, FL
National Provider Identifier
1932572104
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22518 Issued in FL
Practice address
871 Venetia Bay Blvd Ste 310
Venice, FL 34285-8054
Phone
(941) 346-6465
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 MH22518 FL Primary

Addresses

Primary practice location

871 Venetia Bay Blvd Ste 310
Venice, FL 34285-8054

Mailing address

871 Venetia Bay Blvd Ste 310
Venice, FL 34285-8054
Phone (941) 346-6465

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

871 Venetia Bay Blvd
Suite 310
Venice, FL 34285-8038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Community Services Mental Health CurrentSince Oct 29, 2023 Accepting new patients
The LJD Jewish Family & Community Services, Inc Mental Health CurrentSince May 29, 2022 Accepting new patients
Impower, Inc Past Accepting new patients

Locations

8540 Baycenter Rd
Jacksonville, FL 32256
Phone (904) 394-5703

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1932572104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD STE 310",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858054",
            "telephone_number": "941-346-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD STE 310",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858054",
            "telephone_number": "941-346-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "DWAN",
        "middle_name": "CORTELL",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.