Individual provider Active NPI

Barbara Yanelis Padron, LMFT

  • Marriage & Family Therapist
  • Miami, FL
National Provider Identifier
1902004419
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2228 Issued in FL
Practice address
800 SW 108TH Ave
Ste 100
Miami, FL 33174-2555
Phone
(305) 348-3627
Fax
(305) 348-4261
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 MT2228 FL Primary

Addresses

Primary practice location

800 SW 108TH Ave
Ste 100
Miami, FL 33174-2555

Mailing address

15715 S Dixie Hwy Ste 403
Palmetto Bay, FL 33157-1812
Phone (305) 707-5966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Toward Agape, LLC Marriage & Family Therapist PastSince Apr 17, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1902004419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 403",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571812",
            "telephone_number": "305-707-5966",
            "fax_number": "786-513-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 108TH AVE",
            "address_2": "STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742555",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "BARBARA",
        "middle_name": "YANELIS",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.