Individual provider Active NPI

Miesha McIntosh-Kasbar, LMHC, MCAP

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1548575616
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10107 Issued in FL
Practice address
300 Colorado Ave Ste 208
Stuart, FL 34994
Phone
(954) 245-1819
Fax
(772) 444-3395
NPI assigned
Aug 13, 2010
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Mental Health Counselor 101YM0800X MH10107 FL Primary

Addresses

Primary practice location

300 Colorado Ave Ste 208
Stuart, FL 34994

Mailing address

300 Colorado Ave Ste 208
Stuart, FL 34994-2103
Phone (954) 245-1819

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
I20240715002154 FL Practitioner - Mental Health Counselor 5597013599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

Practice addresses (Care Compare)

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10107FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kasbar Counseling & Consulting, Inc Adult Mental Health Current Accepting new patients
A & B Counseling Services LLC Adult Mental Health CurrentSince Jun 27, 2024 Accepting new patients
A & B Counseling LLC PastSince Jun 27, 2024 Accepting new patients

Locations

300 S Colorado Ave
Ste 208
Stuart, FL 34994
Phone (772) 486-8896

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, 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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1548575616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLORADO AVE STE 208",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942103",
            "telephone_number": "954-245-1819",
            "fax_number": "772-444-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLORADO AVE STE 208",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "954-245-1819",
            "fax_number": "772-444-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH-KASBAR",
        "first_name": "MIESHA",
        "name_prefix": "Mrs.",
        "credential": "LMHC, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.