Individual provider Active NPI

Michelle Lorenzo Marin, M.S

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1093343139
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21079 Issued in FL
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

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MH21079FLMDMental Health Counselor
CBHCMS101162FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abcs for Success, LLC CurrentSince Apr 1, 2020 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.

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.

Verify at the official NPI Registry.