Individual provider Active NPI

Nathalia Dibenardo, LMHC

  • Mental Health Counselor
  • Sanford, FL
National Provider Identifier
1871082198
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3993 W 1St St
Sanford, FL 32771-9726
Phone
(386) 873-2963
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 FL Primary

Addresses

Primary practice location

3993 W 1St St
Sanford, FL 32771-9726

Mailing address

3993 W 1St St
Sanford, FL 32771-9726
Phone (407) 732-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250326000865 FL Practitioner - Mental Health Counselor 0941723407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Group PAGroup PAC ID 0446556716, 16 clinicians

Practice addresses (Care Compare)

736 N Magnolia Ave
Orlando, FL 32803-3809
Phone (407) 423-7149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Group, PA Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Saafe Behavioral Services LLC PastSince Nov 12, 2013 Accepting new patients
Saafe Health Services LLC PastSince Jul 3, 2012 Accepting new patients

Locations

736 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149

Organizations & group practices 3

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1871082198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719726",
            "telephone_number": "407-732-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719726",
            "telephone_number": "386-873-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENARDO",
        "first_name": "NATHALIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.