Individual provider Active NPI

Aleyah Raiza Yasin, PHD

  • Marriage & Family Therapist
  • Plantation, FL
National Provider Identifier
1801492228
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3684 Issued in FL
Practice address
711 NW 101 Terrace
Plantation, FL 33324
Phone
(954) 232-0560
Fax
(954) 212-7677
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3684 FL Primary

Addresses

Primary practice location

711 NW 101 Terrace
Plantation, FL 33324

Mailing address

711 NW 101 Terrace
Plantation, FL 33324
Phone (954) 232-0560

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
I20240816001998 FL Practitioner - Marriage and Family Therapist 4981142312 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. Current Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Jul 9, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Jul 21, 2025 Accepting new patients

Locations

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: aleyahyasin@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1801492228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NW 101 TERRACE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-232-0560",
            "fax_number": "954-212-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 101 TERRACE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-232-0560",
            "fax_number": "954-212-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASIN",
        "first_name": "ALEYAH",
        "middle_name": "RAIZA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.