Individual provider Active NPI

Virginia Baez Gaddis, LMHC

  • Mental Health Counselor
  • Davie, FL
National Provider Identifier
1689270944
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18216 Issued in FL
Practice address
4154 SW 66TH Way
Davie, FL 33314-3344
Phone
(305) 776-7372
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18216 FL Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

4154 SW 66TH Way
Davie, FL 33314-3344

Mailing address

2875 NW 82ND Ave Ste 103
Doral, FL 33122-1064
Phone (305) 209-9788

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
I20240725000446 FL Practitioner - Mental Health Counselor 9436695517 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polyclinic Health Center IncGroup PAC ID 8729492574, 3 clinicians

Practice addresses (Care Compare)

299 Alhambra Cir
Suite 210
Coral Gables, FL 33134-5116
Phone (786) 558-5729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Relief Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Polyclinic Health Center Inc CurrentSince Jun 30, 2025 Accepting new patients
Mood Changes Community Care, Inc CurrentSince Oct 2, 2025 Accepting new patients
Family Visitation & Services, LLC CurrentSince Nov 30, 2025 Accepting new patients

Locations

299 Alhambra Cir
Ste 210
Coral Gables, FL 33134
Phone (305) 766-4260

11011 Sheridan St
Ste 314
Hollywood, FL 33026
Phone (305) 209-9788

26027 S Dixie Hwy
Naranja, FL 33032
Phone (786) 601-7344

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1689270944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 NW 82ND AVE STE 103",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221064",
            "telephone_number": "305-209-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 SW 66TH WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143344",
            "telephone_number": "305-776-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "VIRGINIA",
        "middle_name": "BAEZ",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18216",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.