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Patrick Evan Miley , EDS

Counselor • Daytona Beach, FL

Active NPI 1710141130 Individual Practitioner Male Practitioner
Practice location in NPPES

1220 Willis Ave
Daytona Beach, FL 321142810

Call 3862361697 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1220 Willis Ave

Daytona Beach, FL 321142810

Telephone 3862361697
Organization at the Same NPPES Address or Phone
Sma Healthcare Inc Facility NPI 1417939794

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Daytona Beach and Florida

36 active clinicians are listed under Counselor with a practice address in Daytona Beach, FL (3,303 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Daytona Beach

0% of these 36 clinicians have the CMS telehealth indicator.

0% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES FL MH8202

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES FL MH8202
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES FL MH8202
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
000293400 (FL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Jessa Bonavia , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1780365205

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tananarieve Brown , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1306175203

Advanced Registered Nurse Practitioner

Dr. Antonio Canaan , MD

Psychiatry & Neurology - Psychiatry

NPI 1588722854

Doctor of Medicine (M.D.)

Guy Czaykowsky

Psychiatry & Neurology - Psychiatry

NPI 1659429223
Janet Farrelly

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174099550
Rebecca Hayes , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1609853837

Advanced Registered Nurse Practitioner

Career & Practice History

NPI enumerated July 15, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1710141130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2008
Last Update: April 28, 2009
Sole Proprietor: No

Mailing Address

1220 Willis Ave

Daytona Beach, FL 321142810

Phone: 3862361697

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.