Active NPI
Maria Antonia Avila, LMFT, MCAP
- Mental Health Counselor
- Davie, FL
National Provider Identifier
1134934342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MT1398
- Practice address
- 4611 S University Dr # 517
Davie, FL 33328-3817 - Phone
- (305) 498-9324
- NPI assigned
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MT1398 | FL | Primary |
Addresses
Primary practice location
4611 S University Dr # 517
Davie, FL 33328-3817
Mailing address
4611 S University Dr # 517
Davie, FL 33328-3817
Phone (305) 498-9324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 13, 2025 through Aug 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1398 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1134934342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 S UNIVERSITY DR # 517",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283817",
"telephone_number": "305-498-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 S UNIVERSITY DR # 517",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283817",
"telephone_number": "305-498-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "MARIA",
"middle_name": "ANTONIA",
"name_prefix": "Ms.",
"credential": "LMFT, MCAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MT1398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.