Wandaliz Marrero

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH20078 Issued in FL

Practice address

5535 Grand Blvd Ste a
New Port Richey, FL 34652-3843

Phone

(352) 269-5598

Fax

(813) 618-5022

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• Mentallyu Therapy

  • Mental Health Counselor
  • New Port Richey, FL
  • NPI 1265202683
  NPD Authorized official
• Spring Hill Multi-Cultural Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring Hill, FL
  • NPI 1780336545
  NPD (past) Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1083125934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091945",
            "telephone_number": "484-258-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 GRAND BLVD STE A",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523843",
            "telephone_number": "352-269-5598",
            "fax_number": "813-618-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "WANDALIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH20078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Marcinka
• Amgad N Marcus, M.D.
• Maria Claudia Alvarado LLC (Ocean Waves Dentistry)
• Mariagroupllc (Northbay Pharmacy)
• Tracy A Mark
• Casey Kennedy Marsh, RBT
• Darlene Ann Marshello, CAP, CBHCMS, HS-BCP
• Daireny Martin Hernandez
• Martin Prosthetics & Orthotics Inc
• Martin Prosthetics and Orthotics Inc

• Counselor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.