Individual provider Active NPI

Liza Acosta, LMFT

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1861770976
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2543 Issued in FL
Practice address
12030 SW 129TH CT Ste 211
Miami, FL 33186-4584
Phone
(561) 716-6894
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL
Marriage & Family Therapist 106H00000X MT2543 FL Primary

Addresses

Primary practice location

12030 SW 129TH CT Ste 211
Miami, FL 33186-4584

Mailing address

1011 Beech Tree CV
Maryville, TN 37801-2562
Phone (561) 716-6894

Other identifiers 1

IdentifierTypeStateIssuer
004714100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 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
I20240110002473 FL Practitioner - Marriage and Family Therapist 6204287741 Reassigns benefits to 1 organization
I20250314003221 TN Practitioner - Marriage and Family Therapist 6204287741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B and T Health LLCGroup PAC ID 5496275976, 2 clinicians

Practice addresses (Care Compare)

2211 E Broadway Ave
Suite a
Maryville, TN 37804-3078
Phone (865) 324-2043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT2543FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B & T Health LLC CurrentSince Jan 28, 2025 Accepting new patients
Believe and Trust TCM LLC CurrentSince Jan 1, 2024 Accepting new patients
Believe and Trust TCM LLC PastSince Jun 4, 2023 Accepting new patients
Vytalyze Minds Corp D/B/a Vertex Health Past Accepting new patients
Vytalyze Minds Corp D/B/a Vertex Health Past Accepting new patients

Locations

12030 SW 129th Ct
Ste 211
Miami, FL 33186
Phone (305) 639-8760

2211 E Broadway Ave
Maryville, TN 37804
Phone (865) 269-7582

2211 E Broadway Ave
Ste A
Maryville, TN 37804
Phone (865) 324-2043

Organizations & group practices 5

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1861770976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BEECH TREE CV",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378012562",
            "telephone_number": "561-716-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 SW 129TH CT STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864584",
            "telephone_number": "561-716-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "LIZA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004714100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.