Individual provider Active NPI

Karina Evangelista, M.S., LMHC

  • Mental Health Counselor
  • Aventura, FL
National Provider Identifier
1912385584
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH12909 Issued in FL
Practice address
17501 Biscayne Blvd Ste 450
Aventura, FL 33160-4806
Phone
(954) 589-3324
NPI assigned
May 14, 2015
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 IMH12909 FL Primary

Addresses

Primary practice location

17501 Biscayne Blvd Ste 450
Aventura, FL 33160-4806

Mailing address

140 S Dixie Hwy Apt 501
Hollywood, FL 33020-7318
Phone (954) 589-3324

Other practice location 1

140 S Dixie Hwy Apt 501
Hollywood, FL 33020-7318
Phone (954) 589-3324

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH12909FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1912385584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S DIXIE HWY APT 501",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207318",
            "telephone_number": "954-589-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD STE 450",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604806",
            "telephone_number": "954-589-3324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 S Dixie Hwy Apt 501",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330207318",
            "country_code": "US",
            "telephone_number": "954-589-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "KARINA",
        "credential": "M.S., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.