Active NPI
Brenda Jeanne Micali, LMHC, LSP
- Mental Health Counselor
- Palmetto, FL
National Provider Identifier
1275599433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 5476
- Practice address
- 323 10TH Ave W
Suite 303
Palmetto, FL 34221-5047 - Phone
- (941) 730-6083
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 5476 | FL | Primary |
| School Psychologist | 103TS0200X | SS 510 | FL |
Addresses
Primary practice location
323 10TH Ave W
Suite 303
Palmetto, FL 34221-5047
Mailing address
2904 Captains CT
Palmetto, FL 34221-5972
Phone (941) 721-3722
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 5476 | FL | MD | Mental Health Counselor |
| SS 510 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1275599433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 CAPTAINS CT",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215972",
"telephone_number": "941-721-3722",
"fax_number": "941-721-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 10TH AVE W",
"address_2": "SUITE 303",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215047",
"telephone_number": "941-730-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICALI",
"first_name": "BRENDA",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "LMHC, LSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 5476",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS 510",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.