Alexandria Agostinelli
Individual provider Active NPI Marriage & Family Therapist · Boca Raton, FL
NPI 1104669886 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1104669886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MT4934 (FL)
- Practice address
- 5255 N Federal Hwy Ste 230
Boca Raton, FL 33487-4901 - Phone
- (561) 961-0761
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240713000501 | FL | Practitioner - Marriage and Family Therapist | 1759826787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT4934 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventre Medical Associates LLC | Current |
Accepting new patients | |
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Locations
7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885
7261 Sheridan St
Ste 340
Hollywood, FL 33024
2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622
1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT4934 | FL | Yes |
Addresses
Primary practice location
5255 N Federal Hwy Ste 230
Boca Raton, FL 33487-4901
Mailing address
1601 Congressional Way
Deerfield Beach, FL 33442-9167
Phone (561) 573-5568
Other providers in Boca Raton, FL
- Rajesh Agarwala
- Bianca Agassi
- Aging Star Medical Equipment & Supplies, Inc
- Andrew Agoado
- Benita Agoado
- Agramonte Optometry Inc
- Kathryn Aguila
- Nicole Aguila
- Efrain Ernesto Aguilar Murillo
- Maria Del Pilar Aguilar
All providers in Boca Raton, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.