Individual provider Active NPI

Hannah Marissa Damaso

  • Marriage & Family Therapist
  • Weston, FL
National Provider Identifier
1306667910
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT5012 Issued in FL
Practice address
1760 Bell Tower LN Ste 201
Weston, FL 33326-3644
Phone
(954) 684-2915
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT5012 FL Primary

Addresses

Primary practice location

1760 Bell Tower LN Ste 201
Weston, FL 33326-3644

Mailing address

1530 N 69TH Way
Hollywood, FL 33024-5632
Phone (305) 781-5437

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
I20250604000357 FL Practitioner - Marriage and Family Therapist 3678082369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Therapy LLCGroup PAC ID 2365968765, 8 clinicians

Practice addresses (Care Compare)

1760 Bell Tower LN
Suite 201
Weston, FL 33326-3694
Phone (954) 684-2915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy LLC CurrentSince Mar 23, 2025 Accepting new patients

Locations

1760 Bell Tower Ln
Ste 201
Weston, FL 33326
Phone (954) 684-2915

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1306667910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 69TH WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245632",
            "telephone_number": "305-781-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BELL TOWER LN STE 201",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263644",
            "telephone_number": "954-684-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMASO",
        "first_name": "HANNAH",
        "middle_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.