Active NPI
Shakira Maldonado
- Mental Health Counselor
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 013247
- Practice address
- 579 Courtlandt Ave
Bronx, NY 10451-5013 - Phone
- (718) 485-2100
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | MH23809 | FL | |
| Mental Health Counselor | 101YM0800X | 013247 | NY | Primary |
Addresses
Primary practice location
579 Courtlandt Ave
Bronx, NY 10451-5013
Mailing address
839 Riverside Dr Apt 5a
New York, NY 10032-6425
Phone (646) 671-4293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1695 SW 116TH Ave BLDG
Suite 157
Pembroke Pines, FL 33025-5712
Phone (646) 671-4293
839 Riverside Dr
Apt 5a
New York, NY 10032-6425
Phone (646) 671-4293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Couch Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Gateway to You Mental Health Counseling Center PLLC | Mental Health | Current | Accepting new patients |
| Advanced Client Care LLC | Mental Health | Current | Accepting new patients |
Locations
150 E Palmetto Park Rd
Boca Raton, FL 33432
Phone (561) 287-0942
2915 Biscayne Blvd
Miami, FL 33137
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4100 Corporate Sq
Naples, FL 34104
1645 Palm Beach Lakes Blvd
West Palm Beach, FL 33401
Phone (561) 203-6079
2312 Wilton Dr
Wilton Manors, FL 33305
Phone (954) 630-2336
923 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (603) 417-5470
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Pembroke Pines, FL
- NPI 1477328714
NY
-
- Mental Health Counselor
- Boca Raton, FL
- NPI 1245788181
-
- Clinical Social Worker
- Tamarac, FL
- NPI 1336829639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1649923608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 RIVERSIDE DR APT 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100326425",
"telephone_number": "646-671-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 COURTLANDT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515013",
"telephone_number": "718-485-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "SHAKIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2025-01-06",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23809",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "013247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.