Individual provider Active NPI

Paola A Zamora, MH22712

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1023681491
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22712 Issued in FL
Practice address
15000 Jog Rd
Ste 303
Delray Beach, FL 33446
Phone
(561) 755-7086
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22712 FL Primary

Addresses

Primary practice location

15000 Jog Rd
Ste 303
Delray Beach, FL 33446

Mailing address

15000 Jog Rd
Ste 303
Delray Beach, FL 33446
Phone (561) 755-7086

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
I20231202000758 FL Practitioner - Mental Health Counselor 9537517487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

15204 S Jog Rd
Ste 303
Delray Beach, FL 33446
Phone (561) 503-3059

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1023681491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 JOG RD",
            "address_2": "STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-755-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 JOG RD",
            "address_2": "STE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-755-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "PAOLA",
        "middle_name": "A",
        "credential": "MH22712",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.