Individual provider Active NPI

Melissa Chitiva

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1992534853
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22826 Issued in FL
Practice address
11867 SW 12TH St
Pembroke Pines, FL 33025-5717
Phone
(305) 336-7661
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 MH22826 FL Primary

Addresses

Primary practice location

11867 SW 12TH St
Pembroke Pines, FL 33025-5717

Mailing address

11867 SW 12TH St
Pembroke Pines, FL 33025-5717
Phone (305) 336-7661

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250828005570 FL Practitioner - Mental Health Counselor 3779084975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Therapy LLCGroup PAC ID 2365968765, 8 clinicians

Practice addresses (Care Compare)

1760 Bell Tower LN
Suite 201
Weston, FL 33326-3694
Phone (954) 684-2915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22826FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy LLC Mental Health CurrentSince May 31, 2025 Accepting new patients

Locations

1760 Bell Tower Ln
Ste 201
Weston, FL 33326
Phone (954) 684-2915

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1992534853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11867 SW 12TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255717",
            "telephone_number": "305-336-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11867 SW 12TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255717",
            "telephone_number": "305-336-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITIVA",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.