Active NPI
Michelle Lorenzo Marin, M.S
- Mental Health Counselor
- Coral Gables, FL
National Provider Identifier
1093343139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21079
- Practice address
- 1550 Madruga Ave Ste 509
Coral Gables, FL 33146-3048 - Phone
- (786) 536-9714
- Fax
- (786) 536-9833
- NPI assigned
- Apr 1, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | MH21079 | FL | Primary |
| Social Worker | 104100000X | CBHCMS101162 | FL |
Addresses
Primary practice location
1550 Madruga Ave Ste 509
Coral Gables, FL 33146-3048
Mailing address
1550 Madruga Ave Ste 509
Coral Gables, FL 33146-3048
Phone (786) 536-9714
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CoralGables | Health Information Exchange (HIE) | |
| CONNECT URL | www.abc4s.com | Direct | |
| CONNECT URL | www.abc4s.com | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21079 | FL | MD | Mental Health Counselor |
| CBHCMS101162 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abcs for Success, LLC | Current | Accepting new patients |
Locations
4649 Ponce de Leon Blvd
Ste 404
Coral Gables, FL 33146
1550 Madruga Ave
Ste 509
Coral Gables, FL 33146
Phone (305) 662-9805
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.
-
- Community/Behavioral Health Agency
- Coral Gables, FL
- NPI 1043537160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1093343139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 MADRUGA AVE STE 509",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463048",
"telephone_number": "786-536-9714",
"fax_number": "786-536-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MADRUGA AVE STE 509",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331463048",
"telephone_number": "786-536-9714",
"fax_number": "786-536-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZO MARIN",
"first_name": "MICHELLE",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21079",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCMS101162",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CoralGables",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4649 Ponce De Leon Blvd Ste 404",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331462121",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.abc4s.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4649 Ponce De Leon Blvd Ste 404",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331462121",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.abc4s.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4649 Ponce De Leon Blvd Ste 404",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331462121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.