Individual provider Active NPI

Marla Selene Flores, M.S.

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1194504548
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH27596 Issued in FL
Practice address
145 NW Central Park PLZ Ste 204
Port St Lucie, FL 34986-2482
Phone
(772) 303-1987
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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 MH27596 FL Primary

Addresses

Primary practice location

145 NW Central Park PLZ Ste 204
Port St Lucie, FL 34986-2482

Mailing address

567 SE Marydale Ter
Port St Lucie, FL 34983-2217
Phone (772) 224-1149

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
I20260505004359 FL Practitioner - Mental Health Counselor 8325516644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

160 NW Central Park PLZ
Suite 104105
Port St Lucie, FL 34986-1825

567 SE Marydale Ter
Port St Lucie, FL 34983-2217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Medical and Health Services LLC Mental Health CurrentSince Apr 23, 2026 Accepting new patients

Locations

160 NW Central Park Plz
Ste 104
Port St Lucie, FL 34986
Phone (772) 497-5985

145 NW Central Park Plz
Ste 200
Port St Lucie, FL 34986
Phone (772) 303-1987

10 SE Central Pkwy
Ste 101
Stuart, FL 34994
Phone (772) 497-5895

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1194504548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 SE MARYDALE TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832217",
            "telephone_number": "772-224-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NW CENTRAL PARK PLZ STE 204",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862482",
            "telephone_number": "772-303-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARLA",
        "middle_name": "SELENE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.