Active NPI
Mary-Eugenia Olivera, M.S.
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1558723957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH14646
- Practice address
- 9937 Bosque Creek Cir
Apt. 303
Tampa, FL 33619-5167 - Phone
- (786) 253-8419
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH14646 | FL | Primary |
Addresses
Primary practice location
9937 Bosque Creek Cir
Apt. 303
Tampa, FL 33619-5167
Mailing address
9937 Bosque Creek Cir
Apt. 303
Tampa, FL 33619-5167
Phone (786) 253-8419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH14646 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1558723957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9937 BOSQUE CREEK CIR",
"address_2": "APT. 303",
"city": "TAMPA",
"state": "FL",
"postal_code": "336195167",
"telephone_number": "786-253-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9937 BOSQUE CREEK CIR",
"address_2": "APT. 303",
"city": "TAMPA",
"state": "FL",
"postal_code": "336195167",
"telephone_number": "786-253-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERA",
"first_name": "MARY-EUGENIA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH14646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.