Individual provider Active NPI

Shir Bensusan, LMFT

  • Marriage & Family Therapist
  • Aventura, FL
National Provider Identifier
1487336905
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4806 Issued in FL
Practice address
20935 NE 37TH CT
Aventura, FL 33180-3766
Phone
(954) 849-5188
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4806 FL Primary

Addresses

Primary practice location

20935 NE 37TH CT
Aventura, FL 33180-3766

Mailing address

20935 NE 37TH CT
Aventura, FL 33180-3766
Phone (954) 849-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT4806FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SB Collaborative Practice LLC Marriage & Family Therapist CurrentSince Aug 25, 2025 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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1487336905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20935 NE 37TH CT",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803766",
            "telephone_number": "954-849-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20935 NE 37TH CT",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803766",
            "telephone_number": "954-849-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSUSAN",
        "first_name": "SHIR",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.