Individual provider Active NPI

Patricia Timerman Barbosa Da Silva, LMHC, LMFT, QS, NCC

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1326520701
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2926 Issued in FL
Practice address
5201 Blue Lagoon Dr Ste 951
Miami, FL 33126-2064
Phone
(305) 482-3366
NPI assigned
Sep 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT2926 FL Primary
Mental Health Counselor 101YM0800X MH12811 FL

Addresses

Primary practice location

5201 Blue Lagoon Dr Ste 951
Miami, FL 33126-2064

Mailing address

3625 NW 82ND Ave Ste 400M
Doral, FL 33166-7602
Phone (305) 204-7764

Other practice location 1

2630 W Broward Blvd Ste 2031134
Fort Lauderdale, FL 33312-1314
Phone (305) 791-6046

Other identifiers 1

IdentifierTypeStateIssuer
1013450782OtherFLFOR-PROFIT PSYCHOTHERAPY FIRM

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
I20240401003456 FL Practitioner - Mental Health Counselor 0749628410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH12811FLMDMental Health Counselor
MT2926FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate2Create, LLC Mental Health CurrentSince Feb 17, 2024 Accepting new patients

Locations

8250 NW 27th St
Ste 310
Doral, FL 33122
Phone (305) 482-3366

3625 NW 82nd Ave
Ste 400
Doral, FL 33166
Phone (786) 273-7407

3625 NW 82nd Ave
Ste 400M
Doral, FL 33166
Phone (305) 204-7764

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": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1326520701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 400M",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667602",
            "telephone_number": "305-204-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BLUE LAGOON DR STE 951",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262064",
            "telephone_number": "305-482-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 W Broward Blvd Ste 2031134",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333121314",
            "country_code": "US",
            "telephone_number": "305-791-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMERMAN BARBOSA DA SILVA",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "LMHC, LMFT, QS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2926",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOR-PROFIT PSYCHOTHERAPY FIRM",
            "identifier": "1013450782",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.