Active NPI
Teddy Botana
- Marriage & Family Therapist
- Miami, FL
National Provider Identifier
1386314987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4843
- Practice address
- 3403 SW 152ND Pass
Miami, FL 33185-4835 - Phone
- (786) 496-0569
- NPI assigned
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | MT4843 | FL | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
3403 SW 152ND Pass
Miami, FL 33185-4835
Mailing address
2423 SW 147TH Ave # 624
Miami, FL 33185-4082
Phone (786) 399-4504
Other practice location 1
2423 SW 147th Ave # 624
Miami, FL 33185-4082
Phone (786) 496-0569 ext. 60569
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT4843 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arktos Health LLC | Counselor | Current | Accepting new patients |
| Rega Mental Health Center, LLC | Past | Accepting new patients | |
| Rega Mental Health Center, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1386447894
-
- Community/Behavioral Health Agency
- Lake Mary, FL
- NPI 1356012264
-
- Community/Behavioral Health Agency
- Coral Springs, FL
- NPI 1932389319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766880000000",
"number": "1386314987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 SW 147TH AVE # 624",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854082",
"telephone_number": "786-399-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 SW 152ND PASS",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854835",
"telephone_number": "786-496-0569"
}
],
"practiceLocations": [
{
"address_1": "2423 SW 147th Ave # 624",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331854082",
"country_code": "US",
"telephone_number": "786-496-0569 x60569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTANA",
"first_name": "TEDDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-15",
"last_updated": "2025-12-28",
"certification_date": "2025-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4843",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.