Individual provider Active NPI

Monica S Padula, LISW, LIMFT, PHD-C

  • Marriage & Family Therapist
  • Deerfield Beach, FL
National Provider Identifier
1871701953
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F0500045 Issued in OH
Practice address
2014 Farnham N
Deerfield Beach, FL 33442-2916
Phone
(954) 257-4469
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 F0500045 OH Primary

Addresses

Primary practice location

2014 Farnham N
Deerfield Beach, FL 33442-2916

Mailing address

3200 W Market St Ste 101
Fairlawn, OH 44333-3324
Phone (330) 459-6743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090521000646 OH Practitioner - Clinical Social Worker 9133278146 Reassigns benefits to 1 organization
Practice locations: Fairlawn, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Center for Revolutionary Relationships LLCGroup PAC ID 2860828902, 2 clinicians

Practice addresses (Care Compare)

3200 W Market St
Suite 101
Fairlawn, OH 44333-3324
Phone (330) 459-6743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
F0500045OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Revolutionary Relationships LLC Marriage & Family Therapist CurrentSince Mar 1, 2020 Accepting new patients
Lisa Borchert Dba Avenues of Counseling Past Accepting new patients
Helmuth Psychological Associates, Inc. PastSince Mar 22, 2020 Accepting new patients

Locations

3200 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 459-6743

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1871701953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W MARKET ST STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333324",
            "telephone_number": "330-459-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 FARNHAM N",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334422916",
            "telephone_number": "954-257-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADULA",
        "first_name": "MONICA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LISW, LIMFT, PHD-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F0500045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.