Individual provider Active NPI

Mirna Higinia Carozza

  • Mental Health Counselor
  • Palmetto Bay, FL
National Provider Identifier
1811561822
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21085 Issued in FL
Practice address
15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842
Phone
(305) 964-5824
Fax
(786) 452-1200
NPI assigned
May 14, 2021
Last updated
Feb 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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 MH21085 FL Primary

Addresses

Primary practice location

15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842

Mailing address

8899 NW 107TH CT Unit 211
Doral, FL 33178-2181
Phone (786) 817-3962

Other practice location 1

160 NW 176th St Ste 344
Miami Gardens, FL 33169-5049
Phone (305) 816-6300

Other names 1

  • Mirna Higinia Carozza Contreras Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21085FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Face to Face Mental Health Services, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Integrity Behavioral Health, LLC Single Specialty PastSince Mar 1, 2020 Accepting new patients

Locations

15924 SW 92nd Ave
Palmetto Bay, FL 33157
Phone (305) 964-5824

15954 SW 92ND Ave
Palmetto Bay, FL 33157
Phone (305) 964-5824

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1811561822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 NW 107TH CT UNIT 211",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782181",
            "telephone_number": "786-817-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15924 SW 92ND AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571842",
            "telephone_number": "305-964-5824",
            "fax_number": "786-452-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 NW 176th St Ste 344",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331695049",
            "country_code": "US",
            "telephone_number": "305-816-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROZZA",
        "first_name": "MIRNA",
        "middle_name": "HIGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "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": "MH21085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRNA",
            "last_name": "CAROZZA CONTRERAS",
            "middle_name": "HIGINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.