Individual provider Active NPI

Hasina T Roach, MS, MFT

  • Marriage & Family Therapist
  • Lauderhill, FL
National Provider Identifier
1124322607
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2217 NW 59TH Ave # a-71
Lauderhill, FL 33313-3147
Phone
(954) 394-6801
NPI assigned
Dec 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X FL Primary

Addresses

Primary practice location

2217 NW 59TH Ave # a-71
Lauderhill, FL 33313-3147

Mailing address

2217 NW 59TH Ave # a-71
Lauderhill, FL 33313-3147
Phone (954) 394-6801

Other identifiers 1

IdentifierTypeStateIssuer
317087OtherFLFIRST AID

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

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1124322607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 NW 59TH AVE # A-71",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133147",
            "telephone_number": "954-394-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 NW 59TH AVE # A-71",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133147",
            "telephone_number": "954-394-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "HASINA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MS, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST AID",
            "identifier": "317087",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.