Marivy Iglesias, M.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 14915 Issued in FL

Practice address

4720 N State Road 7
Lauderdale Lakes, FL 33319-5860

Phone

(954) 463-0911

Fax

(954) 497-3857

NPI assigned

Mar 23, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I-Bos Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Cape Coral, FL
  • NPI 1851529150

  Mental Health

  Medicare reassignment NPD
• Wilson Wellness Group, LLC

  • Mental Health Counselor
  • Tamarac, FL
  • NPI 1306585062
  NPD
• Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1154272706
  NPD (past)
• Henderson Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Lauderdale Lakes, FL
  • NPI 1972533271
  NPD (past)

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275064073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 NW 25TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222810",
            "telephone_number": "954-882-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195860",
            "telephone_number": "954-463-0911",
            "fax_number": "954-497-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "MARIVY",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 14915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Hudson
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• Cayla Huxhold
• Ics Radiology, Inc.
• Ignacio Rodriguez MD PA
• Ignite Recovery Center LLC
• Ikna Krysiak DO LLC
• Infirmacare
• Chaquita Ingram, COUNSELOR

• Mental Health Counselor in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Jul 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.