Individual provider Active NPI

Marisa S Chiuchiolo

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1558716332
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23516 Issued in FL
Practice address
7540 NW 9TH St
Plantation, FL 33317-1024
Phone
(305) 546-8974
NPI assigned
Apr 28, 2016
Last updated
Apr 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23516 FL Primary
Marriage & Family Therapist 106H00000X NU
Behavior Technician 106S00000X RBT-16-13915 FL

Addresses

Primary practice location

7540 NW 9TH St
Plantation, FL 33317-1024

Mailing address

7540 NW 9TH St
Plantation, FL 33317-1024
Phone (305) 546-8974

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: No
  • 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
RBT-16-13915FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adept Behavioral Management Mental Health CurrentSince Apr 14, 2024 Accepting new patients
JF3 Inc. PastSince Mar 24, 2009 Accepting new patients

Organizations & group practices 2

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1558716332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 NW 9TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171024",
            "telephone_number": "305-546-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 NW 9TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171024",
            "telephone_number": "305-546-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIUCHIOLO",
        "first_name": "MARISA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23516",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-16-13915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.