Individual provider Active NPI

Amanda Cohen

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1821864257
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4805 Issued in FL
Practice address
906 NE 26TH Ave
Ft Lauderdale, FL 33304-3607
Phone
(786) 202-1197
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 MT4805 FL Primary

Addresses

Primary practice location

906 NE 26TH Ave
Ft Lauderdale, FL 33304-3607

Mailing address

650 SE 4TH CT
Dania Beach, FL 33004-4737
Phone (786) 202-1197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250812004461 NJ Practitioner - Marriage and Family Therapist 1759726839 Reassigns benefits to 1 organization
I20260402003551 GA Practitioner - Marriage and Family Therapist 1759726839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT4805FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Community Services of South Florida, Inc. CurrentSince Apr 6, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Marriage & Family Therapist CurrentSince Jul 28, 2025 Accepting new patients
Creative Healing Therapy Marriage & Family Therapist PastSince Dec 3, 2023 Accepting new patients

Locations

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

12000 Biscayne Blvd
Ste 303
North Miami, FL 33181
Phone (305) 403-6513

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 4

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821864257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SE 4TH CT",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330044737",
            "telephone_number": "786-202-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NE 26TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043607",
            "telephone_number": "786-202-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.