Individual provider Active NPI

Ayanna Dara Facey, LMHC

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1821411893
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17572 Issued in FL
Practice address
14900 SW 30TH St
Miramar, FL 33027-7329
Phone
(754) 444-9960
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 MH17572 FL Primary

Addresses

Primary practice location

14900 SW 30TH St
Miramar, FL 33027-7329

Mailing address

7909 Alhambra Blvd
Miramar, FL 33023-5823
Phone (954) 775-4591

Other practice location 1

1825 NW 167th St
Suite 102
Miami Gardens, FL 33056-4838
Phone (305) 624-7450

Other practice location 2

14645 NW 77th Ave Ste 101
Miami Lakes, FL 33014-2569
Phone (786) 785-9033

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
MH17572FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

14645 NW 77th Ave
Ste 101
Miami Lakes, FL 33014
Phone (786) 785-9033

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": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1821411893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 ALHAMBRA BLVD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235823",
            "telephone_number": "954-775-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 SW 30TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277329",
            "telephone_number": "754-444-9960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 NW 167th St",
            "address_2": "SUITE 102",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330564838",
            "country_code": "US",
            "telephone_number": "305-624-7450",
            "fax_number": "305-623-7893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14645 NW 77th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142569",
            "country_code": "US",
            "telephone_number": "786-785-9033",
            "fax_number": "786-206-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FACEY",
        "first_name": "AYANNA",
        "middle_name": "DARA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.