Individual provider Active NPI

Gena Kanov, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1366915407
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14556 Issued in FL
Practice address
19425 SW 58TH MNR
Fort Lauderdale, FL 33332-3338
Phone
(954) 252-5637
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14556 FL Primary

Addresses

Primary practice location

19425 SW 58TH MNR
Fort Lauderdale, FL 33332-3338

Mailing address

19425 SW 58TH MNR
Fort Lauderdale, FL 33332-3338
Phone (954) 252-5637

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

LicenseStateTypeSpecialty
MH14556FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Harbor Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1366915407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19425 SW 58TH MNR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323338",
            "telephone_number": "954-252-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19425 SW 58TH MNR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323338",
            "telephone_number": "954-252-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOV",
        "first_name": "GENA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.