Individual provider Active NPI

Maricruz Sardinas, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1144905423
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22356 Issued in FL
Practice address
12360 SW 132ND CT Ste 113
Miami, FL 33186-6461
Phone
(305) 588-4143
Fax
(305) 964-7375
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 MH22356 FL Primary

Addresses

Primary practice location

12360 SW 132ND CT Ste 113
Miami, FL 33186-6461

Mailing address

11300 SW 48TH St
Miami, FL 33165-6033
Phone (786) 487-6978

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
I20240207001568 FL Practitioner - Mental Health Counselor 0446693485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L.I.F.E Center for Healing and Growth Inc.Group PAC ID 5890138812, 6 clinicians

Practice addresses (Care Compare)

12360 SW 132ND CT
Suite 113
Miami, FL 33186-6461
Phone (786) 587-9631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L.I.F.E Center for Healing & Growth Inc. Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

12360 SW 132nd Ct
Ste 113
Miami, FL 33186
Phone (305) 588-4143

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1144905423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656033",
            "telephone_number": "786-487-6978",
            "fax_number": "305-964-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 SW 132ND CT STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866461",
            "telephone_number": "305-588-4143",
            "fax_number": "305-964-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDINAS",
        "first_name": "MARICRUZ",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.