Maritza Paula

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

164 Oxford Rd
Davenport, FL 33896-8891

Phone

(939) 630-7179

NPI assigned

Jul 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1073130217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LIVE OAK AVE W APT 7303",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445099",
            "telephone_number": "939-630-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 OXFORD RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968891",
            "telephone_number": "939-630-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULA",
        "first_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-04",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "4415",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pate
• Kajalben Patel
• Swati B. Patel, OD
• Swati Pathak, MD
• Trinity Elisa Patrick
• Joanne Rae Payne, R.N CERTIFIED CAPPA
• Mariana Paola Paz de Useches
• Pediatric Care of Four Corners PLLC
• Maria Fernanda Pena Diaz, SA-C
• Maria Antonieta Pena Lopez

• Mental Health Counselor in Davenport, FL
• Providers in Davenport, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.