Active NPI
Fatima Malik, LMHC
- Mental Health Counselor
- Miramar, FL
National Provider Identifier
1750166641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH22622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole-Health, LLC | Current | Accepting new patients | |
| Bishop Health Florida, LLC | Mental Health | Current | 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.
-
- Family Medicine Physician
- Delray Beach, FL
- NPI 1356536098
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.