Individual provider Active NPI

Dina Marie Mercadante, LMHC

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1992715353
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6883 Issued in FL
Practice address
2328 Manatee Ave W
Bradenton, FL 34205-5432
Phone
(941) 744-0933
Fax
(941) 747-1093
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2015

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 MH6883 FL Primary

Addresses

Primary practice location

2328 Manatee Ave W
Bradenton, FL 34205-5432

Mailing address

2328 Manatee Ave W
Bradenton, FL 34205-4957
Phone (941) 744-0933

Other identifiers 4

IdentifierTypeStateIssuer
2121956659001OtherFLBEECHSTREET PROVIDER #
258983OtherFLCOMPSYCH PROVIDER #
Z002VOtherFLBCBS PROVIDER #
238680OtherFLAMERIGROUP PROVIDER #

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
MH6883FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1992715353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054957",
            "telephone_number": "941-744-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055432",
            "telephone_number": "941-744-0933",
            "fax_number": "941-747-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADANTE",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET PROVIDER #",
            "identifier": "2121956659001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH PROVIDER #",
            "identifier": "258983",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "Z002V",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER #",
            "identifier": "238680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.