NPIMap

Organization Active NPI

Seasons Psychotherapy Associates LLC

  • Mental Health Counselor
  • Davie, FL
National Provider Identifier
1639796675
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEASONS PSYCHOTHERAPY ASSOCIATES LLC
Practice address
12505 Orange Dr Ste 901
Davie, FL 33330-4300
Phone
(954) 342-0982
Fax
(954) 342-1080
NPI assigned
Jun 25, 2020
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Carol Mirones, LCSW, LMFTNPI 1528681137
Title
Ceo
Phone
(855) 949-5310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

12505 Orange Dr Ste 901
Davie, FL 33330-4300

Mailing address

2601 E Oakland Park Blvd Ste 205
Fort Lauderdale, FL 33306-1658
Phone (954) 342-0982

Other identifiers 1

IdentifierTypeStateIssuer
108602800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201028000379 FL Part B Supplier - Clinic/Group Practice 6608286943 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
Practice locations: Coral Springs, FL; Davie, FL; Fort Lauderdale, FL; Tampa, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

12505 Orange Dr
Ste 908
Davie, FL 33330
Phone (954) 342-0982

4301 S Flamingo Rd
Ste 106118
Davie, FL 33330

3750 Gunn Hwy
Ste 101
Tampa, FL 33618
Phone (813) 592-8600

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1639796675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E OAKLAND PARK BLVD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061658",
            "telephone_number": "954-342-0982",
            "fax_number": "954-342-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 901",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-342-0982",
            "fax_number": "954-342-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS PSYCHOTHERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "MIRONES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-949-5310",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108602800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.