Organization provider

DREAVITA COUNSELING COACHING AND CONSULTING INC

Counselor Mental Health Counselor Cognitive & Behavioral Psychologist Medicare enrolled

DREAVITA COUNSELING COACHING AND CONSULTING INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104694116, based in W Hollywood, CA. The organization lists 13 taxonomy classifications, with Counselor recorded as primary.

Getting there

The practice address on file is 1227 N GENESEE AVE APT 5, W Hollywood, CA 90046. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1227 N GENESEE AVE APT 5, W Hollywood, CA 90046 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6103265301

Enrolled in Medicare 6 times, across 6 states:

StateEnrollment IDProvider type
Washington O20240819003708 Part B Supplier - Clinic/group Practice
Colorado O20241015004507 Part B Supplier - Clinic/group Practice
Florida O20241121004210 Part B Supplier - Clinic/group Practice
California O20241230000767 Part B Supplier - Clinic/group Practice
Connecticut O20250502002360 Part B Supplier - Clinic/group Practice
Texas O20250702002395 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 6 separate enrolment records across 6 states (WA, CO, FL, CA, CT, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Counselor covers

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NUCC Health Care Provider Taxonomy, code 101Y00000X
Behavioral Health & Social Service Providers Counselor

All registered taxonomy codes

This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101Y00000X Counselor primary
101YM0800X Mental Health Counselor Mental Health
103TB0200X Cognitive & Behavioral Psychologist Cognitive & Behavioral
103TC0700X Clinical Psychologist Clinical
103TC1900X Counseling Psychologist Counseling
261QC1800X Corporate Health Clinic/Center Corporate Health
390200000X Student in an Organized Health Care Education/Training Program
103TM1800X Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities
103TP2701X Group Psychotherapy Psychologist Group Psychotherapy
104100000X Social Worker
1041C0700X Clinical Social Worker Clinical
171400000X Health & Wellness Coach
251V00000X Voluntary or Charitable Agency

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104694116 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 19, 2023
Last updatedDec 19, 2023
StatusActive
Practice address 1227 N GENESEE AVE APT 5
W Hollywood, CA 90046
(813) 690-5092
Mailing address 3911 CONCORD PIKE UNIT 8030
Wilmington, DE 19803
This record was updated on Dec 19, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1104694116 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 9 4 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 9 8 1 2

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104694116?
NPI 1104694116 is the National Provider Identifier assigned to DREAVITA COUNSELING COACHING AND CONSULTING INC in W Hollywood, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Counselor cover?
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
How do I contact DREAVITA COUNSELING COACHING AND CONSULTING INC?
The phone number on file with NPPES is (813) 690-5092, last updated Dec 19, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DREAVITA COUNSELING COACHING AND CONSULTING INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104694116 a valid number?
Yes. 1104694116 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.