Individual provider Active NPI

Marvin Polanco, RMHCI

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1902474331
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH20935 Issued in FL
Practice address
1951 NW 7TH Ave FL 3
Miami, FL 33136-1104
Phone
(305) 902-6347
NPI assigned
Jun 13, 2021
Sex
Male
Sole proprietor
Yes

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
IMH20935FLMDMental Health Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH20935 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1951 NW 7TH Ave FL 3
Miami, FL 33136-1104

Mailing address

PO Box 15958
Tampa, FL 33684-5958
Phone (305) 204-5928

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2023.

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1902474331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15958",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336845958",
            "telephone_number": "305-204-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361104",
            "telephone_number": "305-902-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "MARVIN",
        "name_prefix": "Mr.",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.