Individual provider Active NPI

Mauricio Richard Taborga, M.A., LPC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1316392871
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15283 Issued in FL
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

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH15283FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.