Individual provider Active NPI

Lazara Amneris Novas, MHC

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1750708905
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10729 Issued in FL
Practice address
2332 Galiano St Ste 233
Coral Gables, FL 33134-5402
Phone
(305) 588-3961
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH11827 FL
Student in an Organized Health Care Education/Training Program 390200000X FL
Psychologist 103T00000X PY10729 FL Primary

Addresses

Primary practice location

2332 Galiano St Ste 233
Coral Gables, FL 33134-5402

Mailing address

801 Brickell Key Blvd Apt 2507
Miami, FL 33131-3720
Phone (305) 588-3961

Other practice location 1

1001 Potrero Ave # 6B
San Francisco, CA 94110-3518
Phone (415) 206-4722

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
I20230607000963 FL Practitioner - Clinical Psychologist 3375900384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH11827FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Psychologist CurrentSince Mar 2, 2023 Accepting new patients
South Broward Hospital District CurrentSince Mar 2, 2023 Accepting new patients

Locations

1150 N 35th Ave
Ste 525
Hollywood, FL 33021
Phone (954) 265-1260

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

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, 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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1750708905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BRICKELL KEY BLVD APT 2507",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313720",
            "telephone_number": "305-588-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 GALIANO ST STE 233",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345402",
            "telephone_number": "305-588-3961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave # 6B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAS",
        "first_name": "LAZARA",
        "middle_name": "AMNERIS",
        "name_prefix": "Dr.",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH11827",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.