Individual provider Active NPI

Teresita Ibarra

  • Marriage & Family Therapist
  • Coral Gables, FL
National Provider Identifier
1841626496
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2838 Issued in FL
Practice address
2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620
Phone
(786) 444-6433
NPI assigned
Sep 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-43656 FL
Marriage & Family Therapist 106H00000X MT2838 FL Primary

Addresses

Primary practice location

2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620

Mailing address

8707 SW 159TH Path
Miami, FL 33193-5285
Phone (786) 444-6433

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: Yes
  • 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT2838FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Counseling Group, Inc Marriage & Family Therapist CurrentSince Jun 30, 2024 Accepting new patients
Developmental Applied Behavior Solutions, Inc Behavior Analyst Past Accepting new patients

Locations

5455 SW 8th St
Ste 230
Coral Gables, FL 33134
Phone (786) 629-8836

2030 S Douglas Rd
Ste 215
Coral Gables, FL 33134
Phone (305) 661-5511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1841626496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SW 159TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935285",
            "telephone_number": "786-444-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344620",
            "telephone_number": "786-444-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "TERESITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-43656",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.