Rahila Amjad Bashir, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH7753 Issued in FL

Practice address

4650 Lipscomb St NE Ste 10
Palm Bay, FL 32905-2997

Phone

(321) 720-1709

Fax

(321) 720-1709

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Rahila Bashir Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366483067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 PORT MALABAR BLVD NE",
            "address_2": "10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055259",
            "telephone_number": "321-720-1709",
            "fax_number": "321-733-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 LIPSCOMB ST NE STE 10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052997",
            "telephone_number": "321-720-1709",
            "fax_number": "321-720-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 9th St SW",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329624312",
            "country_code": "US",
            "telephone_number": "772-257-8224 x339",
            "fax_number": "772-571-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "RAHILA",
        "middle_name": "AMJAD",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH7753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366483067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHILA",
            "last_name": "BASHIR",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Counselor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.