Active NPI
Soraya Carmen Carr, LMHC
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1326548405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15117
- Practice address
- 22512 Logwood Ave
Boca Raton, FL 33428-3948 - Phone
- (561) 674-3016
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | MH15117 | FL | Primary |
Addresses
Primary practice location
22512 Logwood Ave
Boca Raton, FL 33428-3948
Mailing address
22512 Logwood Ave
Boca Raton, FL 33428-3948
Phone (561) 674-3016
Other names 1
- Soraya Carmen Dorismond
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15117 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Insight LLC | Mental Health | 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": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1326548405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22512 LOGWOOD AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334283948",
"telephone_number": "561-674-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22512 LOGWOOD AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334283948",
"telephone_number": "561-674-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "SORAYA",
"middle_name": "CARMEN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SORAYA",
"last_name": "DORISMOND",
"middle_name": "CARMEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.