Active NPI
Sigridur Irizarry, LMHC
- Addiction (Substance Use Disorder) Counselor
- West Palm Beach, FL
National Provider Identifier
1063062362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- MH17035
- Practice address
- 400 Executive Center Dr Ste 106
West Palm Beach, FL 33401-2919 - Phone
- (561) 444-6140
- NPI assigned
- Sep 18, 2019
- Last updated
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH17035 | FL | Primary |
Addresses
Primary practice location
400 Executive Center Dr Ste 106
West Palm Beach, FL 33401-2919
Mailing address
17150 31St Rd N
Loxahatchee, FL 33470-3605
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH17035 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1063062362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 31ST RD N",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334703605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EXECUTIVE CENTER DR STE 106",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012919",
"telephone_number": "561-444-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "SIGRIDUR",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH17035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.