Individual provider Active NPI

Onur Pisan

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1275251704
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH22336 Issued in FL
Practice address
3325 Hollywood Blvd Ste 204B
Hollywood, FL 33021-6926
Phone
(954) 417-5177
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 IMH22336 FL Primary

Addresses

Primary practice location

3325 Hollywood Blvd Ste 204B
Hollywood, FL 33021-6926

Mailing address

19500 Turnberry Way Apt 25de
Miami, FL 33180-2539
Phone (305) 343-9210

Other practice location 1

19500 Turnberry Way Apt 25De
Miami, FL 33180-2539
Phone (305) 343-9210

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
IMH22336FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Consulting LLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

3325 Hollywood Blvd
Ste 204B
Hollywood, FL 33021
Phone (305) 343-9210

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

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1275251704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 TURNBERRY WAY APT 25DE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802539",
            "telephone_number": "305-343-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD STE 204B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216926",
            "telephone_number": "954-417-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19500 Turnberry Way Apt 25De",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331802539",
            "country_code": "US",
            "telephone_number": "305-343-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISAN",
        "first_name": "ONUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH22336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.