Individual provider Active NPI

Maria Mercedes Martin, LMHC

  • Mental Health Counselor
  • Virginia Gardens, FL
National Provider Identifier
1467602649
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7408 Issued in FL
Practice address
6501 NW 36TH St
Suite# 102
Virginia Gardens, FL 33166-6959
Phone
(305) 871-3131
Fax
(305) 871-2727
NPI assigned
Sep 24, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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 MH7408 FL Primary

Addresses

Primary practice location

6501 NW 36TH St
Suite# 102
Virginia Gardens, FL 33166-6959

Mailing address

6501 NW 36TH St
Suite# 102
Virginia Gardens, FL 33166-6959
Phone (305) 871-3131

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
MH7408FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Alliance Community Mental Health Center Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1467602649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "SUITE# 102",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-871-3131",
            "fax_number": "305-871-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "SUITE# 102",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-871-3131",
            "fax_number": "305-871-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.