Krystyna Isel Manso, MSPSY, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18832 Issued in FL

Practice address

9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422

Phone

(754) 704-6867

NPI assigned

Feb 13, 2021

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• 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

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 and National Provider Directory roles.

• Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1407913338
  Medicare reassignment NPD
• Synergy Wellness of Florida Inc.

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1912630112
  Medicare reassignment NPD
• Borinquen Health Care Center, Inc.

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1245643709
  NPD
• Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Miami, FL
  • NPI 1730623414
  NPD
• VM Counseling Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pembroke Pines, FL
  • NPI 1093584294
  NPD

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1972196608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-704-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-704-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2691 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331374414",
            "country_code": "US",
            "telephone_number": "305-556-6611 x3127",
            "fax_number": "786-476-2813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Biscayne Blvd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331374130",
            "country_code": "US",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSO",
        "first_name": "KRYSTYNA",
        "middle_name": "ISEL",
        "credential": "MSPSY, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109801900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manish M Patel MD PA
• Andrew E Mann, PT
• Meril Manoj
• Antonio Augusto Manrique, MD
• Natalia Manrique
• Maria Carolina Mantilla, APRN- FNP- C
• Alberto Manzor, MD
• Abel Marante
• Geovannie Marcano-Centeno, M.D.
• Daisy Marcatoma

• Mental Health Counselor in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Sep 12, 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.