Individual provider Active NPI

Gretel Anelis Rabczak, LMHC

  • Mental Health Counselor
  • Aventura, FL
National Provider Identifier
1144457573
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7818 Issued in FL
Practice address
20801 Biscayne Blvd Ste 403
Aventura, FL 33180-1423
Phone
(786) 897-0276
Fax
(305) 931-0124
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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 7818 FL Primary

Addresses

Primary practice location

20801 Biscayne Blvd Ste 403
Aventura, FL 33180-1423

Mailing address

20801 Biscayne Blvd Ste 403
Aventura, FL 33180-1423
Phone (786) 897-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529002979 FL Practitioner - Mental Health Counselor 4183194285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1688 Meridian Ave
Suite 613
Miami Beach, FL 33139-2708

20900 NE 30TH Ave
Suite 200/17
Aventura, FL 33180-2164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7818FLMDOptician

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1144457573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 BISCAYNE BLVD STE 403",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801423",
            "telephone_number": "786-897-0276",
            "fax_number": "305-931-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 BISCAYNE BLVD STE 403",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801423",
            "telephone_number": "786-897-0276",
            "fax_number": "305-931-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABCZAK",
        "first_name": "GRETEL",
        "middle_name": "ANELIS",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.