Individual provider Active NPI

Myriam Gerstein, LCSW

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1275800104
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW5433 Issued in FL
Practice address
5361 NW 22ND Ave
Miami, FL 33142-8035
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
Nov 21, 2011
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW5433 FL Primary
Clinical Social Worker 1041C0700X SW5433 FL

Addresses

Primary practice location

5361 NW 22ND Ave
Miami, FL 33142-8035

Mailing address

5607 NW 27TH Ave
Suite 1
Miami, FL 33142
Phone (305) 805-1700

Other identifiers 1

IdentifierTypeStateIssuer
762107800MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050520000228 FL Practitioner - Clinical Social Worker 4082655923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5361 NW 22ND Ave
Miami, FL 33142-8035
Phone 30563764002151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5433FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System, Inc CurrentSince Feb 1, 2012 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Feb 1, 2012 Accepting new patients
Jessie Trice Community Health System Inc Past Accepting new patients

Locations

901 E 10th Ave
Ste 39
Hialeah, FL 33010
Phone (305) 835-1578

1100 NW 71st St
Miami, FL 33150
Phone (305) 836-0991

1190 NW 95th St
Ste 100
Miami, FL 33150
Phone (305) 534-4404

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

20612 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 835-1615

20612 NW 27th Ave
Ste 304
Miami Gardens, FL 33056

490 Opa Locka Blvd
Ste 100
Opa Locka, FL 33054

Organizations & group practices 5

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": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1275800104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE",
            "address_2": "SUITE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428035",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEIN",
        "first_name": "MYRIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5433",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762107800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.