Individual provider Active NPI

Eva Nydia Marcano, MCAP, RMHCI

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1366972242
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH20144 Issued in FL
Practice address
8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332
Phone
(727) 544-0044
Fax
(727) 545-0125
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X IMH20144 FL Primary

Addresses

Primary practice location

8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332

Mailing address

13534 Little Park Dr Apt 101
Tampa, FL 33618-3419
Phone (813) 389-9048

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
IMH20144FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1366972242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13534 LITTLE PARK DR APT 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183419",
            "telephone_number": "813-389-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 49TH ST N STE 106",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825332",
            "telephone_number": "727-544-0044",
            "fax_number": "727-545-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANO",
        "first_name": "EVA",
        "middle_name": "NYDIA",
        "credential": "MCAP, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.