MS. DALAD SRISUPPAK LMHC
NPI 1235572397
Counselor - Mental Health in Riviera Beach, FL

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404(561) 906-3460 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 1, 2025, Feb 15, 2022, Nov 21, 2018 (3 updates tracked since 2018).

About Ms. Dalad Srisuppak Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DALAD SRISUPPAK LMHC (NPI 1235572397) is an individual mental health provider in Riviera Beach, Florida, licensed in Florida (MH14060) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235572397
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DALAD SRISUPPAKCredential: LMHC
Location Address2001 W BLUE HERON BLVDRiviera Beach, FL 33404-5003
Mailing Address2001 W Blue Heron BlvdRiviera Beach, FL 33404-5003 · (561) 841-3500
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2013
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1235572397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH14060
2001 W BLUE HERON BLVD, Riviera Beach, FL 33404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Dalad Srisuppak Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981174612
PECOS Enrollment IDI20260522002886
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dalad Srisuppak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Counselor (Mental Health)
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Counselor (Mental Health)
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Behavior Technician
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Counselor (Mental Health)
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Social Worker
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Counselor (Mental Health)
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404
Counselor (Mental Health)
2001 W BLUE HERON BLVD
RIVIERA BEACH, FL 33404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalad Srisuppak's NPI number?

The NPI number for Dalad Srisuppak is 1235572397. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Dalad Srisuppak located?

Dalad Srisuppak practices at 2001 W Blue Heron Blvd, Riviera Beach, FL 33404. The listed phone number is (561) 906-3460.

What is Dalad Srisuppak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dalad Srisuppak enrolled in Medicare?

Yes. Dalad Srisuppak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dalad Srisuppak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dalad Srisuppak reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dalad Srisuppak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dalad Srisuppak accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Dalad Srisuppak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dalad Srisuppak was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.