Individual provider Active NPI

Marisa Destefano Huff, MS, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1548726102
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21396 Issued in FL
Practice address
1555 Palm Beach Lakes Blvd Ste 1560
West Palm Beach, FL 33401-2335
Phone
(561) 907-4409
NPI assigned
Feb 19, 2019
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 MH21396 FL Primary

Addresses

Primary practice location

1555 Palm Beach Lakes Blvd Ste 1560
West Palm Beach, FL 33401-2335

Mailing address

4100 Plum Tree LN
Riviera Beach, FL 33410-1905
Phone (561) 578-1200

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
I20260506003906 FL Practitioner - Mental Health Counselor 2264900349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie PBC2 LLCGroup PAC ID 6002355302, 6 clinicians

Practice addresses (Care Compare)

8895 N Military TRL
Suite 202B
West Palm Beach, FL 33410-6284
Phone (917) 855-2799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH21396FLMDMental Health Counselor

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1548726102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 PLUM TREE LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334101905",
            "telephone_number": "561-578-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PALM BEACH LAKES BLVD STE 1560",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012335",
            "telephone_number": "561-907-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "MARISA",
        "middle_name": "DESTEFANO",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.