Individual provider Active NPI

Natalia Urquiza-Manzano, MS

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1316457070
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21766 Issued in FL
Practice address
1000 N Hiatus Rd
Pembroke Pines, FL 33026-3097
Phone
(954) 333-8787
NPI assigned
Oct 9, 2017
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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
Mental Health Counselor 101YM0800X MH21766 FL Primary

Addresses

Primary practice location

1000 N Hiatus Rd
Pembroke Pines, FL 33026-3097

Mailing address

11620 Park LN Unit 602
Pembroke Pines, FL 33025-2317
Phone (954) 629-2999

Other practice location 1

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone (813) 467-6111

Other identifiers 1

IdentifierTypeStateIssuer
MH21766OtherFLLMHC

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
I20250403002285 FL Practitioner - Mental Health Counselor 7719401447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians

Practice addresses (Care Compare)

4700 Millenia Blvd
Suite 500
Orlando, FL 32839-6019
Phone (813) 277-4571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH21766FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Sciences Orlando LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

4700 Millenia Blvd
Ste 500
Orlando, FL 32839
Phone (813) 277-4571

5510 N Hesperides St
Tampa, FL 33614
Phone (727) 418-2567

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1316457070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 PARK LN UNIT 602",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330252317",
            "telephone_number": "954-629-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263097",
            "telephone_number": "954-333-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Millenia Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328396019",
            "country_code": "US",
            "telephone_number": "813-467-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URQUIZA-MANZANO",
        "first_name": "NATALIA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH21766",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.