Individual provider Active NPI

Ingrid D'Aquin

  • Mental Health Counselor
  • Coconut Grove, FL
National Provider Identifier
1700445202
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14394 Issued in FL
Practice address
2000 S Dixie Hwy Ste 104
Coconut Grove, FL 33133-2441
Phone
(786) 277-3013
NPI assigned
Jun 7, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 MH14394 FL Primary

Addresses

Primary practice location

2000 S Dixie Hwy Ste 104
Coconut Grove, FL 33133-2441

Mailing address

14232 SW 117TH Ter
Miami, FL 33186-8635
Phone (786) 277-3013

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
MH14394FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1700445202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14232 SW 117TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868635",
            "telephone_number": "786-277-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY STE 104",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332441",
            "telephone_number": "786-277-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AQUIN",
        "first_name": "INGRID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.