Individual provider Active NPI

Parinaz Fard-Aghaie, RMHI - IMH

  • Mental Health Counselor
  • Debary, FL
National Provider Identifier
1194494583
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH21089 Issued in FL
Practice address
352 Englenook Dr
Debary, FL 32713-1803
Phone
(407) 732-7266
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 IMH21089 FL Primary

Addresses

Primary practice location

352 Englenook Dr
Debary, FL 32713-1803

Mailing address

352 Englenook Dr
Debary, FL 32713-1803
Phone (407) 732-7266

Other practice location 1

1208 Johns Landing Way Apt 260
Heathrow, FL 32746-7215
Phone (321) 297-9271

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
I20240201003510 FL Practitioner - Mental Health Counselor 6305299603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antonio Cubano, M.D., P.a. 5 clinicians

Practice addresses (Care Compare)

352 Englenook Dr
Debary, FL 32713-1803
Phone (407) 732-7266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH21089FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Cubano, M.D., P.a. CurrentSince Jan 28, 2024 Accepting new patients

Locations

352 Englenook Dr
Debary, FL 32713
Phone (407) 732-7266

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1194494583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 ENGLENOOK DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327131803",
            "telephone_number": "407-732-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 ENGLENOOK DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327131803",
            "telephone_number": "407-732-7266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Johns Landing Way Apt 260",
            "address_purpose": "LOCATION",
            "city": "Heathrow",
            "state": "FL",
            "postal_code": "327467215",
            "country_code": "US",
            "telephone_number": "321-297-9271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARD-AGHAIE",
        "first_name": "PARINAZ",
        "credential": "RMHI - IMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.