Antwan McKenzie-Plez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18613 Issued in FL

Practice address

800 NE 62ND St Ste 406
Fort Lauderdale, FL 33334-3522

Phone

(954) 412-9698

NPI assigned

Jun 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Its All Grief, LLC

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396330858
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1811513450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1298",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330611298",
            "telephone_number": "786-260-3520",
            "fax_number": "954-697-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 62ND ST STE 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343522",
            "telephone_number": "954-412-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Westhall Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517478",
            "country_code": "US",
            "telephone_number": "800-840-2528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8380 W State Road 84",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333244546",
            "country_code": "US",
            "telephone_number": "302-570-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE-PLEZ",
        "first_name": "ANTWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline McIntosh
• Montia McIntosh, MSN, APRN-C, FAANP
• Yasmine V McIntosh
• Melissa McKay
• Jenise McKeever, MS
• Adrine Amoy McKenzie, PH.D.
• Rona Mercia McKenzie, MD
• Yasmine McKenzie, OTR/L
• Joseph McKeown
• Anthony McLean

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.

Verify at the official NPI Registry.