Individual provider Active NPI

Melissa Sosa Miracolo, MS, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1356674253
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13464 Issued in FL
Practice address
1818 S Australian Ave Ste 420
West Palm Beach, FL 33409-6447
Phone
(855) 832-6727
Fax
(772) 675-9100
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MH13464 FL
Mental Health Counselor 101YM0800X MH13464 FL Primary

Addresses

Primary practice location

1818 S Australian Ave Ste 420
West Palm Beach, FL 33409-6447

Mailing address

125 SW 8TH Ave Ste 27B
Boca Raton, FL 33486-4658
Phone (786) 218-7382

Other names 1

  • Miss Riama Melissa Sosa Former name

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 Science

State licenses

LicenseStateTypeSpecialty
MH13464FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Ambition, Inc. Past Accepting new patients
Sosa-Miracolo Counseling Services, L.L.C. Past Accepting new patients

Organizations & group practices 2

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1356674253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SW 8TH AVE STE 27B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334864658",
            "telephone_number": "786-218-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S AUSTRALIAN AVE STE 420",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096447",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACOLO",
        "first_name": "MELISSA",
        "middle_name": "SOSA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH13464",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIAMA",
            "last_name": "SOSA",
            "middle_name": "MELISSA",
            "prefix": "MISS",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.