Individual provider Active NPI

Shakira Maldonado

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1649923608
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013247 Issued in NY
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

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250131000011 FL Practitioner - Mental Health Counselor 0446789762 Reassigns benefits to 3 organizations
I20250131001305 NY Practitioner - Mental Health Counselor 0446789762 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Healing Couch Inc. CurrentSince Jul 19, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 4, 2025 Accepting new patients
Gateway to You Mental Health Counseling Center PLLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Advanced Client Care LLC Mental Health CurrentSince Jul 19, 2025 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.

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

Verify at the official NPI Registry.