Yaroslaba Garcia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11374 Issued in FL

Practice address

12811 Kenwood LN Ste 202
Fort Myers, FL 33907-5646

Phone

(239) 537-9646

Fax

(239) 236-0866

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Yaro Garcia Professional name

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Therapy Treatment Team LLCGroup PAC ID 0446594451, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy Treatment Team LLC

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1053858316
  Medicare reassignment Care Compare group Authorized official
• Therapy Treatment Team LLC

  • Mental Health Counselor
  • Naples, FL
  • NPI 1932843588
  NPD Authorized official
• Therapy Treatment Team LLC

  • Addiction (Substance Use Disorder) Counselor
  • Wesley Chapel, FL
  • NPI 1083395040
  NPD (past) Authorized official
• Therapy Treatment Team, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1306624366
  NPD (past) Authorized official

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1194176743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 GROVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341207517",
            "telephone_number": "239-537-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075646",
            "telephone_number": "239-537-9646",
            "fax_number": "239-236-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Stanford Ct Ste 601",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341124841",
            "country_code": "US",
            "telephone_number": "239-990-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "YAROSLABA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101054400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13842682",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YARO",
            "last_name": "GARCIA",
            "prefix": "DR.",
            "credential": "PHD, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicholas Albert Garcia, M.D.
• Santo Ignacio Garcia, MOTR/L
• Trinity L Garcia
• Veronica Lucas Garcia
• Yanet Garcia, PA
• Yasmin Garcia
• Yuliet Garcia, APRN
• Garcias Wellness and Health Care
• Linda J Gardiner, M.D.
• Gardner Orthopedics LLC

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.