Individual provider Active NPI

Maria T Ewing, LMHC

  • Mental Health Counselor
  • Venice, FL
National Provider Identifier
1710974126
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6253 Issued in FL
Practice address
4242 S Tamiami TRL
Venice, FL 34293-5105
Phone
(941) 800-4924
Fax
(941) 837-2480
NPI assigned
Sep 30, 2005
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 MH6253 FL Primary

Addresses

Primary practice location

4242 S Tamiami TRL
Venice, FL 34293-5105

Mailing address

4242 S Tamiami TRL
Venice, FL 34293-5105
Phone (941) 800-4924

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
I20240227003303 FL Practitioner - Mental Health Counselor 7517320450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Betterment Mental Health Counseling, Inc.Group PAC ID 6709249642, 8 clinicians

Practice addresses (Care Compare)

4242 S Tamiami TRL
Venice, FL 34293-5105
Phone 9418004924101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Betterment Mental Health Counseling, Inc. CurrentSince Dec 21, 2021 Accepting new patients

Locations

4242 S Tamiami Trl
Venice, FL 34293
Phone (941) 800-4924

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, 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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1710974126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935105",
            "telephone_number": "941-800-4924",
            "fax_number": "419-837-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935105",
            "telephone_number": "941-800-4924",
            "fax_number": "941-837-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "MARIA",
        "middle_name": "T",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.