DERICK ALLEN DUSTON (NPI# 1487175709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487175709 |
| Entity Type | Individual |
| Full Name | DERICK ALLEN DUSTON |
| Credential | LMHC |
| Practice Address |
1700 Education Ave Punta Gorda FL 33950-6222 |
| Practice Telephone | (941) 639-8300 |
| Practice Fax Number | 9416396831 |
| Mailing Telephone | 9416398300 |
| Mailing Fax Number | 9416396831 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 14792 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MH LICENSE | MH14792 | 01 |
| Street Address |
1700 EDUCATION AVE |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-6222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429682 | Molly C Grossman | Counselor | 1700 Education Ave, Punta Gorda, FL 33950 | 2005-09-30 |
| 1821638164 | Genoa Healthcare, LLC | Pharmacy | 1700 Education Ave, Bldg A, Suite P, Punta Gorda, FL 33950-6222 | 2020-01-15 |
| 1700420668 | Kristen Nicole Keen | Nurse Practitioner | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-11-04 |
| 1437707122 | Richard Meredith | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-08-27 |
| 1427617166 | Rebecca Anne Hansen | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-06-06 |
| 1346719986 | Tammy Allshouse | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-11-13 |
| 1629554852 | Marlo Felice Uzzle | Social Worker | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-07-11 |
| 1306340377 | Beatrice Braswell | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-03-22 |
| 1194248344 | Amanda Wood | Social Worker | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2017-07-19 |
| 1396281911 | Peta Gay Bezek | Nurse Practitioner | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2017-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630744 | Brooke Nicole Tominey | Counselor | 135 Seasons Dr, Punta Gorda, FL 33983-5443 | 2020-08-17 |
| 1336762087 | Richard Solodky | Counselor | 27355 Jones Loop Rd, Punta Gorda, FL 33982-2396 | 2020-05-28 |
| 1437707122 | Richard Meredith | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2019-08-27 |
| 1346719986 | Tammy Allshouse | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2018-11-13 |
| 1073962130 | Marcia Rosman | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2016-06-09 |
| 1679929665 | Russell Carawan | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2016-05-09 |
| 1346612231 | Khalilah Williams | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2015-10-30 |
| 1639541527 | Jacqueline Maccarthy | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2015-10-30 |
| 1215343033 | Lisa Mazzotti | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2014-07-02 |
| 1740612340 | David M Stone | Counselor | 1700 Education Ave, Punta Gorda, FL 33950-6222 | 2013-08-06 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.