Individual provider Active NPI

Fatima Malik, LMHC

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1750166641
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22622 Issued in FL
Practice address
2124 SW 185TH Ave
Miramar, FL 33029-5907
Phone
(954) 303-6875
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 MH22622 FL Primary

Addresses

Primary practice location

2124 SW 185TH Ave
Miramar, FL 33029-5907

Mailing address

2124 SW 185TH Ave
Miramar, FL 33029-5907
Phone (954) 303-6875

Other practice location 1

1300 NW 17th Ave Ste 112
Delray Beach, FL 33445-2554
Phone (561) 566-5618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20250221000878 FL Practitioner - Mental Health Counselor 3971023821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whole-Health, LLC CurrentSince Nov 30, 2024 Accepting new patients
Bishop Health Florida, LLC Mental Health CurrentSince Nov 30, 2024 Accepting new patients

Locations

402 SE 6th Ave
Delray Beach, FL 33483
Phone (561) 265-1990

Organizations & group practices 2

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1750166641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 SW 185TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295907",
            "telephone_number": "954-303-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 SW 185TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295907",
            "telephone_number": "954-303-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 NW 17th Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334452554",
            "country_code": "US",
            "telephone_number": "561-566-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FATIMA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.