Individual provider Active NPI

Kari-Anne Spaulding

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1033965124
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH25386 Issued in FL
Practice address
9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422
Phone
(754) 704-6867
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 IMH25386 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422

Mailing address

11551 SW 26TH St Apt 201
Miramar, FL 33025-7540
Phone (305) 778-3918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH25386FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Wellness of Florida Inc. Mental Health CurrentSince May 7, 2024 Accepting new patients
VM Counseling Services Inc. CurrentSince May 12, 2024 Accepting new patients

Locations

9050 Pines Blvd
Ste 305
Pembroke Pines, FL 33024
Phone (754) 283-9665

Organizations & group practices 2

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1033965124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 SW 26TH ST APT 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257540",
            "telephone_number": "305-778-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-704-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "KARI-ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.