Individual provider Active NPI

Mary Eleanor Lanser, LICSW

  • Counselor
  • Miami Beach, FL
National Provider Identifier
1689721664
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
SW 1535 Issued in FL
Practice address
1680 Meridian Ave
Suite 501
Miami Beach, FL 33139-2703
Phone
(305) 531-5341
Fax
(305) 532-5322
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW 1535 FL Primary

Addresses

Primary practice location

1680 Meridian Ave
Suite 501
Miami Beach, FL 33139-2703

Mailing address

1680 Meridian Ave
Suite 501
Miami Beach, FL 33139-2703
Phone (305) 531-5341

Other identifiers 2

IdentifierTypeStateIssuer
750584100MedicaidFL
767018400MedicaidFL

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
SW 1535FLMDCounselor

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1689721664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 MERIDIAN AVE",
            "address_2": "SUITE 501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392703",
            "telephone_number": "305-531-5341",
            "fax_number": "305-532-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 MERIDIAN AVE",
            "address_2": "SUITE 501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392703",
            "telephone_number": "305-531-5341",
            "fax_number": "305-532-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSER",
        "first_name": "MARY",
        "middle_name": "ELEANOR",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW 1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750584100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767018400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.