Michelline Karen Kiezer-Roles, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3663 Issued in FL

Practice address

3741 NW 95TH Ter Apt 1503
Sunrise, FL 33351-6481

Phone

(954) 408-4184

NPI assigned

Jan 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1942547583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 NW 95TH TER APT 1503",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516481",
            "telephone_number": "954-408-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 NW 95TH TER APT 1503",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516481",
            "telephone_number": "954-408-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEZER-ROLES",
        "first_name": "MICHELLINE",
        "middle_name": "KAREN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Patricia Khan, FNP
• Faiza Mumtaz Khan, SLP
• Saba Naz Khan, M.S., CCC-SLP
• Dibya Khataniar
• Sarvin Khorram, PHARMD
• Steven M. Kiffel, MD
• Angela Jean Killpack, OTR/L
• Megan Kim, PT
• Kimberly Elser Advanced Practice Nursing Services, P.a.
• Lauren M. Kimmel, MD

• Marriage & Family Therapist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.