Individual provider Active NPI

Noah Alexander Shasha

  • Mental Health Counselor
  • Miami Beach, FL
National Provider Identifier
1548053135
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24385 Issued in FL
Practice address
1615 Pennsylvania Ave Apt 7
Miami Beach, FL 33139-7769
Phone
(561) 889-4965
Fax
(561) 889-4965
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 MH24385 FL Primary

Addresses

Primary practice location

1615 Pennsylvania Ave Apt 7
Miami Beach, FL 33139-7769

Mailing address

1615 Pennsylvania Ave Apt 7
Miami Beach, FL 33139-7769
Phone (561) 889-4965

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
I20250605000555 FL Practitioner - Mental Health Counselor 9032628524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

13934 Painted Bunting LN
Riverview, FL 33579-3525
Phone (305) 902-6347

1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1548053135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PENNSYLVANIA AVE APT 7",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397769",
            "telephone_number": "561-889-4965",
            "fax_number": "561-889-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PENNSYLVANIA AVE APT 7",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331397769",
            "telephone_number": "561-889-4965",
            "fax_number": "561-889-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASHA",
        "first_name": "NOAH",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.