Individual provider Active NPI

Melissa Joanna Ibarra, LHMC

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1073391793
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22727 Issued in FL
Practice address
1533 Sunset Dr Ste 225
Coral Gables, FL 33143-5700
Phone
(305) 707-1604
Fax
(786) 772-7581
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 MH22727 FL Primary

Addresses

Primary practice location

1533 Sunset Dr Ste 225
Coral Gables, FL 33143-5700

Mailing address

1533 Sunset Dr Ste 225
Coral Gables, FL 33143-5700
Phone (305) 707-1604

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
I20240116004626 FL Practitioner - Mental Health Counselor 5698127512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daema Pina PSYD LLCGroup PAC ID 2062806094, 6 clinicians

Practice addresses (Care Compare)

9220 Sunset Dr
Suite 104
Miami, FL 33173-3259
Phone (786) 724-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22727FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Daema Pina PSYD LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

9220 Sunset Dr
Ste 104
Miami, FL 33173
Phone (786) 724-4224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1073391793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SUNSET DR STE 225",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331435700",
            "telephone_number": "305-707-1604",
            "fax_number": "786-772-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 SUNSET DR STE 225",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331435700",
            "telephone_number": "305-707-1604",
            "fax_number": "786-772-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "MELISSA",
        "middle_name": "JOANNA",
        "name_prefix": "Miss",
        "credential": "LHMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.