Individual provider Active NPI

Paula Natalia Fistein, LMHC

  • Mental Health Counselor
  • Lake Worth, FL
National Provider Identifier
1952973935
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17418 Issued in FL
Practice address
5133 Woodstone Cir E
Lake Worth, FL 33463-5819
Phone
(561) 420-5755
NPI assigned
Jul 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 17418 FL Primary

Addresses

Primary practice location

5133 Woodstone Cir E
Lake Worth, FL 33463-5819

Mailing address

5133 Woodstone Cir E
Lake Worth, FL 33463-5819
Phone (561) 420-5755

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
17418FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Space Counseling Services LLC Mental Health CurrentSince Apr 24, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Shine Medical Providers PC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paulafistein@tdh.allscriptsdirect.net

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": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1952973935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 WOODSTONE CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334635819",
            "telephone_number": "561-420-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 WOODSTONE CIR E",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334635819",
            "telephone_number": "561-420-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISTEIN",
        "first_name": "PAULA",
        "middle_name": "NATALIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.