Individual provider Active NPI

Ivanna Schuls-Diaz, LMHC

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1043090152
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH27005 Issued in FL
Practice address
8323 NW 12TH St Ste 108
Doral, FL 33126-1839
Phone
(305) 400-8511
Fax
(305) 392-0184
NPI assigned
Oct 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 MH27005 FL Primary

Addresses

Primary practice location

8323 NW 12TH St Ste 108
Doral, FL 33126-1839

Mailing address

8323 NW 12TH St Ste 108
Doral, FL 33126-1839
Phone (305) 400-8511

Other practice location 1

3250 Mary St Ste 300
Miami, FL 33133-5293
Phone (305) 908-1115

Other names 1

  • Ivanna Schuls Diaz Other name

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
I20260312003211 FL Practitioner - Mental Health Counselor 2769965276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Behavioral Health LLCGroup PAC ID 6204164882, 7 clinicians

Practice addresses (Care Compare)

8323 NW 12TH St
Suite 108
Doral, FL 33126-1839
Phone (305) 400-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27005FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ep Facility LLC CurrentSince Feb 25, 2024 Accepting new patients
Community Behavioral Health LLC Mental Health CurrentSince Apr 1, 2026 Accepting new patients
Elevate Psychiatry LLC CurrentSince Oct 8, 2023 Accepting new patients
Blooming Psychology LLC Mental Health Current Accepting new patients

Locations

8323 NW 12th St
Ste 108
Doral, FL 33126
Phone (305) 400-8511

3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1043090152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261839",
            "telephone_number": "305-400-8511",
            "fax_number": "305-392-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261839",
            "telephone_number": "305-400-8511",
            "fax_number": "305-392-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Mary St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331335293",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULS-DIAZ",
        "first_name": "IVANNA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVANNA",
            "last_name": "SCHULS DIAZ",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.