Individual provider Active NPI

Marla Grandis, MA LMHC

  • Mental Health Counselor
  • North Miami, FL
National Provider Identifier
1114131463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7600 Issued in FL
Practice address
1175 NE 125 Street
North Miami, FL 33161
Phone
(305) 893-0048
Fax
(305) 893-0024
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH7600 FL Primary

Addresses

Primary practice location

1175 NE 125 Street
North Miami, FL 33161

Mailing address

1465 NE 123 Street
507
North Miami, FL 33161-6038
Phone (305) 981-1521

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 Arts

State licenses

LicenseStateTypeSpecialty
MH7600FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114131463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 NE 123 STREET",
            "address_2": "507",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616038",
            "telephone_number": "305-981-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NE 125 STREET",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "305-893-0048",
            "fax_number": "305-893-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIS",
        "first_name": "MARLA",
        "name_prefix": "Ms.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.