Individual provider Active NPI

Carlos Amoros Kovarna, L.M.H.C.

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1265847412
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12586 Issued in FL
Practice address
9380 Sunset Dr
Miami, FL 33173-3276
Phone
(305) 274-3172
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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 MH12586 FL Primary

Addresses

Primary practice location

9380 Sunset Dr
Miami, FL 33173-3276

Mailing address

14132 SW 162ND St
Miami, FL 33177-2054
Phone (786) 556-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20250429001063 FL Practitioner - Mental Health Counselor 3375966377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH12586FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinities Services Inc CurrentSince Jun 9, 2020 Accepting new patients
Forward Behavior Analysis Services Mental Health Past Accepting new patients

Locations

175 Fontainebleau Blvd
Ste 2L1
Miami, FL 33172
Phone (305) 221-6494

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1265847412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14132 SW 162ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772054",
            "telephone_number": "786-556-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733276",
            "telephone_number": "305-274-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOROS KOVARNA",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.