Individual provider Active NPI

Regina Ravachi, LMHC

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1982764205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3331 Issued in FL
Practice address
1601 N Palm Ave
Suite 300
Pembroke Pines, FL 33026-3200
Phone
(954) 441-3413
Fax
(954) 441-3413
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH3331 FL Primary

Addresses

Primary practice location

1601 N Palm Ave
Suite 300
Pembroke Pines, FL 33026-3200

Mailing address

1601 N Palm Ave
Suite 300
Pembroke Pines, FL 33026-3200
Phone (954) 441-3413

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
MH3331FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982764205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 300",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263200",
            "telephone_number": "954-441-3413",
            "fax_number": "954-441-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "SUITE 300",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263200",
            "telephone_number": "954-441-3413",
            "fax_number": "954-441-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVACHI",
        "first_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.