Active NPI
Melissa Sosa Miracolo, MS, LMHC
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1356674253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13464
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH13464 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Wilton Manors, FL
- NPI 1033645973
-
- Counseling Psychologist
- Boynton Beach, FL
- NPI 1669028957
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.