Individual provider Active NPI

Mary Katherine Garcia

  • Professional Counselor
  • Pompano Beach, FL
National Provider Identifier
1932541372
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19392 Issued in AZ
Practice address
4301 N Federal Hwy
Suite 2 South
Pompano Beach, FL 33064-6519
Phone
(888) 880-9270
Fax
(954) 342-0273
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC-19392 AZ Primary

Addresses

Primary practice location

4301 N Federal Hwy
Suite 2 South
Pompano Beach, FL 33064-6519

Mailing address

4287 W 17TH PL
Yuma, AZ 85364-4829
Phone (520) 490-3432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241024004315 AZ Practitioner - Mental Health Counselor 1759814072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind 247 Practice LLC Multi-Specialty Current Accepting new patients
Mind 247 Practice LLC CurrentSince Aug 22, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

2728 N 24th St
Ste 2
Phoenix, AZ 85008
Phone (602) 900-1793

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

1375 N Scottsdale Rd
Ste 145
Scottsdale, AZ 85257

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1932541372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 W 17TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644829",
            "telephone_number": "520-490-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N FEDERAL HWY",
            "address_2": "SUITE 2 SOUTH",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646519",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2023-11-08",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.