Individual provider Active NPI

Mishelle Ortiz-Velez, LMFT

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1871955294
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3026 Issued in FL
Practice address
1040 Bayview Dr
Suite 110
Fort Lauderdale, FL 33304-2522
Phone
(954) 800-0818
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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 MT3026 FL Primary

Addresses

Primary practice location

1040 Bayview Dr
Suite 110
Fort Lauderdale, FL 33304-2522

Mailing address

1040 Bayview Dr
Suite 110
Fort Lauderdale, FL 33304-2522
Phone (954) 800-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT3026FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Forward, LLC Past Accepting new patients

Organizations & group practices 1

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1871955294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 BAYVIEW DR",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042522",
            "telephone_number": "954-800-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BAYVIEW DR",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042522",
            "telephone_number": "954-800-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-VELEZ",
        "first_name": "MISHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.