Individual provider Active NPI

Carla Marisol Roman

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1285200709
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7931 SW 15TH St
Miami, FL 33144-5229
Phone
(786) 302-3041
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-170215 FL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

7931 SW 15TH St
Miami, FL 33144-5229

Mailing address

7931 SW 15TH St
Miami, FL 33144-5229
Phone (786) 302-3041

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mail

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
I20250723002336 FL Practitioner - Mental Health Counselor 3476069618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-21-170215FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Mental Health Center LLC CurrentSince Jun 18, 2025 Accepting new patients

Locations

9260 Sunset Dr
Ste 103
Miami, FL 33173
Phone (305) 279-9864

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1285200709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 SW 15TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331445229",
            "telephone_number": "786-302-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 SW 15TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331445229",
            "telephone_number": "786-302-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CARLA",
        "middle_name": "MARISOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-170215",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mail",
            "affiliation": "N",
            "address_1": "7931 SW 15th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331445229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.