Active NPI
Parinaz Fard-Aghaie, RMHI - IMH
- Mental Health Counselor
- Debary, FL
National Provider Identifier
1194494583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH21089
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH21089 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio Cubano, M.D., P.a. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.