Active NPI
Mauricio Richard Taborga, M.A., LPC
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1316392871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15283
- Practice address
- 1428 Brickell Ave Ste 403
Miami, FL 33131 - Phone
- (305) 915-5748
- Fax
- (801) 217-5748
- NPI assigned
- May 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15283 | FL | Primary |
Addresses
Primary practice location
1428 Brickell Ave Ste 403
Miami, FL 33131
Mailing address
1428 Brickell Ave Ste 403
Miami, FL 33131-3436
Phone (703) 786-5425
Other practice location 1
807 S. George St
York, PA 17403
Phone (717) 843-6561
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15283 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rost & Associates | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- York, PA
- NPI 1093708364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1316392871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 BRICKELL AVE STE 403",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313436",
"telephone_number": "703-786-5425",
"fax_number": "801-217-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 BRICKELL AVE STE 403",
"city": "MIAMI",
"state": "FL",
"postal_code": "33131",
"telephone_number": "305-915-5748",
"fax_number": "801-217-5748"
}
],
"practiceLocations": [
{
"address_1": "807 S. George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17403",
"country_code": "US",
"telephone_number": "717-843-6561",
"fax_number": "717-845-6941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABORGA",
"first_name": "MAURICIO",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.