Individual provider Active NPI

Maria Virginia Merrill Facio, LMHC

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1790886877
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21260 Issued in FL
Practice address
3002 NW 99TH PL
Doral, FL 33172-1047
Phone
(615) 336-0847
NPI assigned
Sep 25, 2006
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X MH21260 FL Primary

Addresses

Primary practice location

3002 NW 99TH PL
Doral, FL 33172-1047

Mailing address

3002 NW 99TH PL
Doral, FL 33172-1047
Phone (615) 336-0847

Other names 1

  • Maria Virginia Martegani Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH21260FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1790886877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 NW 99TH PL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721047",
            "telephone_number": "615-336-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 NW 99TH PL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721047",
            "telephone_number": "615-336-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL FACIO",
        "first_name": "MARIA",
        "middle_name": "VIRGINIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MARTEGANI",
            "middle_name": "VIRGINIA",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.