Individual provider Active NPI

Xiomara Bartron, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1710382197
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 14083 Issued in FL
Practice address
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Phone
(800) 892-0640
Fax
(800) 892-0648
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 IMH11610 FL
Mental Health Counselor 101YM0800X MH 14083 FL Primary

Addresses

Primary practice location

10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426

Mailing address

1120 NW 94TH Ave
Plantation, FL 33322-4217
Phone (954) 249-6303

Other practice location 1

3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018
Phone (954) 587-1008

Other practice location 2

1120 NW 94th Ave
Plantation, FL 33322-4217
Phone (954) 249-6303

Other names 1

  • Miss Xiomara Diaz Former name

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
IMH11610FLMDMental Health Counselor
MH 14083FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1710382197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 94TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224217",
            "telephone_number": "954-249-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 N DALE MABRY HWY STE C-100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184426",
            "telephone_number": "800-892-0640",
            "fax_number": "800-892-0648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 W Broward Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333121018",
            "country_code": "US",
            "telephone_number": "954-587-1008",
            "fax_number": "954-587-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 NW 94th Ave",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333224217",
            "country_code": "US",
            "telephone_number": "954-249-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTRON",
        "first_name": "XIOMARA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH11610",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 14083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIOMARA",
            "last_name": "DIAZ",
            "prefix": "MISS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.