Individual provider Active NPI

Ana Maria Peana, LMHC

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1245868215
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9059 Issued in FL
Practice address
100 NW 17TH Ave
Pompano Beach, FL 33069-2814
Phone
(954) 977-8380
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 MH9059 FL Primary

Addresses

Primary practice location

100 NW 17TH Ave
Pompano Beach, FL 33069-2814

Mailing address

301 N 13TH Ave
Hollywood, FL 33019-1011
Phone (954) 882-1332

Other practice location 1

4121 NW 5th St Ste 206
Plantation, FL 33317-2120
Phone (954) 797-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH9059FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Retreat of Atlanta LLC CurrentSince Apr 25, 2021 Accepting new patients
Fifth Street Counseling Center IV, Inc Past Accepting new patients

Locations

100 NW 17th Ave
Pompano Beach, FL 33069
Phone (954) 977-8380

Organizations & group practices 2

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1245868215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 13TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191011",
            "telephone_number": "954-882-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 17TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692814",
            "telephone_number": "954-977-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 NW 5th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172120",
            "country_code": "US",
            "telephone_number": "954-797-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEANA",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.