Individual provider Active NPI

Mery F Atick, MS, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1962062083
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17422 Issued in FL
Practice address
2440 Coral Way Ste 4F
Coral Gables, FL 33145-3410
Phone
(305) 998-2279
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 MH17422 FL Primary

Addresses

Primary practice location

2440 Coral Way Ste 4F
Coral Gables, FL 33145-3410

Mailing address

2440 Coral Way Ste 4F
Coral Gables, FL 33145-3410
Phone (305) 998-2279

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami

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
MH17422FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1962062083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 CORAL WAY STE 4F",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453410",
            "telephone_number": "305-998-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 CORAL WAY STE 4F",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453410",
            "telephone_number": "305-998-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATICK",
        "first_name": "MERY",
        "middle_name": "F",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "2440 Coral Way Ste 4F",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331453410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.