Alexandra Vaganova, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3951 Issued in FL

Practice address

2699 Stirling Rd Ste C403A
Fort Lauderdale, FL 33312-6564

Phone

(954) 999-2320

NPI assigned

Dec 14, 2020

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

Interoperability endpoints

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

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.

• Serenity Space Therapy LLC

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
  • NPI 1801484407
  Medicare reassignment Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1982290045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C403A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126564",
            "telephone_number": "954-999-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C403A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126564",
            "telephone_number": "954-999-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGANOVA",
        "first_name": "ALEXANDRA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sena Melisa Uzunlar, MD
• V4 Full Circle LLC
• Joseph Vaccarella, RD
• Natalia Jennifer Vaccarella, RD
• Ali Vaeli Zadeh, MD
• Gabriel Vahi-Ferguson, MD
• Bianca Vahia
• Hootan Vakili, MD
• Daphney Valbrun, DNP PMHNP-BC
• Michelle Ibeliss Valbuena, MD

• Marriage & Family Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Jan 8, 2021; 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.