Individual provider Active NPI

Parvaty Johana Soto de Leitao, PHD. CHAPLAINCY

  • Pastoral Counselor
  • Pompano Beach, FL
National Provider Identifier
1639864879
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
FL-23-0022 Issued in FL
Practice address
2813 N Course Dr Apt 105a
Pompano Beach, FL 33069-3050
Phone
(954) 650-4226
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X FL-23-0022 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 05-20-39-34 PR

Addresses

Primary practice location

2813 N Course Dr Apt 105a
Pompano Beach, FL 33069-3050

Mailing address

2813 N Course Dr Apt 105a
Pompano Beach, FL 33069-3050
Phone (954) 650-4226

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

State licenses

LicenseStateTypeSpecialty
FL-23-0022FLMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1639864879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 N COURSE DR APT 105A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693050",
            "telephone_number": "954-650-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 N COURSE DR APT 105A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693050",
            "telephone_number": "954-650-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO DE LEITAO",
        "first_name": "PARVATY",
        "middle_name": "JOHANA",
        "credential": "PHD. CHAPLAINCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "FL-23-0022",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "05-20-39-34",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.