Individual provider Active NPI

Maristella Fiuza Cabral Freire, LMFT

  • Marriage & Family Therapist
  • Tampa, FL
National Provider Identifier
1003693334
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4747 Issued in FL
Practice address
3503 E Frontage Rd FL 2
Tampa, FL 33607-1742
Phone
(813) 579-0137
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4747 FL Primary

Addresses

Primary practice location

3503 E Frontage Rd FL 2
Tampa, FL 33607-1742

Mailing address

1348 30TH St S
St Petersburg, FL 33712-1954
Phone (813) 579-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002729 FL Practitioner - Marriage and Family Therapist 1254781818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. Past Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients
Behavioral Health Management Services, Inc. Past Accepting new patients

Networks

  • FL HMO C-SNP
  • FL PPO
  • FL HMO
  • FL HMO D-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1003693334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 30TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121954",
            "telephone_number": "813-579-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 E FRONTAGE RD FL 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071742",
            "telephone_number": "813-579-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE",
        "first_name": "MARISTELLA",
        "middle_name": "FIUZA CABRAL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.