Individual provider Active NPI

Vivian Pazos, LMFT

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1669204582
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M5011 Issued in FL
Practice address
110 NW 114TH Ave Apt 107
Miami, FL 33172-4778
Phone
(786) 271-3785
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 M5011 FL Primary

Addresses

Primary practice location

110 NW 114TH Ave Apt 107
Miami, FL 33172-4778

Mailing address

110 NW 114TH Ave Apt 107
Miami, FL 33172-4778
Phone (786) 271-3785

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
I20251205000919 FL Practitioner - Marriage and Family Therapist 6002186962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Care Florida LLCGroup PAC ID 3678971264, 3 clinicians

Practice addresses (Care Compare)

4005 NW 114TH Ave
Unit 22
Doral, FL 33178-4373
Phone (305) 260-6913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M5011FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Behavioral Center Inc Current Accepting new patients
Mercy Behavioral Center Inc Current Accepting new patients
Peaceful Progress Miami, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

3785 NW 82nd Ave
Ste 307
Doral, FL 33166
Phone (305) 266-2949

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1669204582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NW 114TH AVE APT 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724778",
            "telephone_number": "786-271-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NW 114TH AVE APT 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724778",
            "telephone_number": "786-271-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZOS",
        "first_name": "VIVIAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "M5011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.