Andrea Wanza, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14491 Issued in FL

Practice address

530 NW 183Rd St
Miami Gardens, FL 33169-4468

Phone

(305) 654-7251

Fax

(305) 647-0203

NPI assigned

Jul 7, 2017

Last updated

Nov 7, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowering Youth Inc

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1962273326
  NPD Authorized official
• Empowering Youth Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Gardens, FL
  • NPI 1750803144
  NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1942722301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694468",
            "telephone_number": "305-654-7251",
            "fax_number": "305-647-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANZA",
        "first_name": "ANDREA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MH14491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03250)
• Athenia Walker
• Linda Walker
• Vivian Michael Walker, MS
• Martha Wallen, PHARM.D.
• Waterfold Centers Corp
• Cheryl Waterman
• Edgar Carlos Waugh
• Weeman Services Solutions Corp
• Nicole Weissman, PT, DPT

• Mental Health Counselor in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.