Samantha Corzo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20049 Issued in FL

Practice address

1725 N University Dr Ste 350
Coral Springs, FL 33071-6000

Phone

(954) 227-2700

Fax

(954) 227-2704

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

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.

• Banyan Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coral Gables, FL
  • NPI 1104247188
  Medicare reassignment
• Banyan Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lauderdale Lakes, FL
  • NPI 1972979631
  NPD
• Meraki Wellness & Healing Inc.

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1558060236
  NPD (past)
• Meraki Wellness & Healing Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Lakes, FL
  • NPI 1568923985
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1215689062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 350",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716000",
            "telephone_number": "954-227-2700",
            "fax_number": "954-227-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 350",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716000",
            "telephone_number": "954-227-2700",
            "fax_number": "954-227-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORZO",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Correa
• Miguel Santiago Correa
• William Daniel Correal, PA-C
• Correct Care Medical Inc (Correct Care Chiropractic)
• Lissette Cortes, PSYD CEDS
• Keziah Cosby
• Kaitlin Cosgrove
• Costco Wholesale Corporation (Costco Optical #1323)
• Costco Wholesale Corporation (Costco Pharmacy #1323)
• Costco Wholesale Corporation (Costco Hearing Aid #1323)

• Mental Health Counselor in Coral Springs, FL
• Providers in Coral Springs, 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 Jun 14, 2022; 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.