Individual provider Active NPI

Carissa Rosero

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1427440627
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25193 Issued in FL
Practice address
2956 SW 179TH Ave
Miramar, FL 33029-5516
Phone
(954) 205-2381
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 MH25193 FL Primary

Addresses

Primary practice location

2956 SW 179TH Ave
Miramar, FL 33029-5516

Mailing address

2956 SW 179TH Ave
Miramar, FL 33029-5516
Phone (954) 205-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311002417 FL Practitioner - Mental Health Counselor 1850812470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Mental Health LLC CurrentSince Mar 4, 2025 Accepting new patients

Locations

4445 W 16th Ave
Ste 405
Hialeah, FL 33012
Phone (786) 233-6721

4101 NW 4th St
Ste 401
Plantation, FL 33317
Phone (954) 581-8585

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1427440627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 SW 179TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295516",
            "telephone_number": "954-205-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 SW 179TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295516",
            "telephone_number": "954-205-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSERO",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.