Individual provider Active NPI

Teddy Botana

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1386314987
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4843 Issued in FL
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

Updated by the provider on Dec 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT4843FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arktos Health LLC Counselor CurrentSince Apr 6, 2025 Accepting new patients
Rega Mental Health Center, LLC PastSince Sep 28, 2021 Accepting new patients
Rega Mental Health Center, LLC PastSince Sep 1, 2021 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.

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.

Verify at the official NPI Registry.