Individual provider Active NPI

Mert Omer Yildiz, PH.D., LMFT,

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1609507524
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4831 Issued in FL
Practice address
805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046
Phone
(954) 952-0071
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4831 FL Primary

Addresses

Primary practice location

805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046

Mailing address

805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046
Phone (954) 952-0071

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
I20251116000106 FL Practitioner - Marriage and Family Therapist 2466943659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

805 E Broward Blvd
Suite 301
Fort Lauderdale, FL 33301-2046

PO Box
Chattanooga, TN 37422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT4831FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lending Ears Marriage & Family Therapist CurrentSince Oct 7, 2025 Accepting new patients

Locations

805 E Broward Blvd
Ste 301
Fort Lauderdale, FL 33301
Phone (786) 745-7108

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1609507524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E BROWARD BLVD STE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012046",
            "telephone_number": "954-952-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E BROWARD BLVD STE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012046",
            "telephone_number": "954-952-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YILDIZ",
        "first_name": "MERT",
        "middle_name": "OMER",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.