Individual provider Active NPI

Yanira Espin Salazar, M.S

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1700191772
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 7909 Issued in FL
Practice address
1511 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5478
Phone
(772) 249-4463
Fax
(772) 249-4471
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 7909 FL Primary

Addresses

Primary practice location

1511 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5478

Mailing address

7501 Wiles Rd
Suite 202
Coral Springs, FL 33067-2063
Phone (772) 249-4463

Other identifiers 1

IdentifierTypeStateIssuer
IMH 7909OtherFLREGISTERED MENTAL HEALTH COUNSELOR INTERN

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH 7909FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rega Mental Health Center, LLC Past Accepting new patients

Organizations & group practices 1

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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1700191772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD",
            "address_2": "SUITE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "772-249-4463",
            "fax_number": "772-249-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525478",
            "telephone_number": "772-249-4463",
            "fax_number": "772-249-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIN SALAZAR",
        "first_name": "YANIRA",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 7909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "IMH 7909",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.