Individual provider Active NPI

Fabiana Ubfal

  • Mental Health Counselor
  • North Miami Beach, FL
National Provider Identifier
1790330199
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17229 Issued in FL
Practice address
16375 NE 18TH Ave Ste 206
North Miami Beach, FL 33162-4700
Phone
(786) 246-4050
NPI assigned
Aug 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 17229 FL Primary

Addresses

Primary practice location

16375 NE 18TH Ave Ste 206
North Miami Beach, FL 33162-4700

Mailing address

16375 NE 18TH Ave Ste 206
North Miami Beach, FL 33162-4700
Phone (786) 246-4050

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
I20241025003575 FL Practitioner - Mental Health Counselor 6002349271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16375 NE 18TH Ave
Suite 206
North Miami Beach, FL 33162-4700
Phone (786) 246-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17229FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fabiana Ubfal Health LLC Mental Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

16375 NE 18th Ave
Ste 206
North Miami Beach, FL 33162
Phone (786) 246-4050

13899 Biscayne Blvd
Ste 412
North Miami Beach, FL 33181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1790330199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16375 NE 18TH AVE STE 206",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624700",
            "telephone_number": "786-246-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16375 NE 18TH AVE STE 206",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624700",
            "telephone_number": "786-246-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBFAL",
        "first_name": "FABIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.