MR. VICTOR MORETTA (NPI# 1720126881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720126881 |
| Entity Type | Individual |
| Full Name | MR. VICTOR MORETTA |
| Credential | LMHC, LMFT, CAP |
| Practice Address |
10000 Bay Pines Blvd Bay Pines FL 33744-8200 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 7273986661 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAP-2786 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH-6812 | FL | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MT-2350 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 764941000 | 05 |
| Street Address |
10000 BAY PINES BLVD |
| City | BAY PINES |
| State | FL |
| Zip Code | 33744-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423596 | Lawrence Alan Gaulkin | Family Medicine | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2005-08-09 |
| 1225638943 | Mary Catherine Mercer | Psychologist | 10000 Bay Pines Blvd, Mh&bss (116), Bay Pines, FL 33744 | 2020-10-30 |
| 1407456650 | Alisah N Lauderdale | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-27 |
| 1710584503 | Jeffrey Scott Mcdonald | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1841897642 | Cecelia Anne Bushery | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1982201141 | Brett Marshel Taylor | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-01 |
| 1588271951 | Jennifer Ngoc Ngo | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1750998274 | Nara Celeste Lee | Dietitian, Registered | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1972110393 | Nardine-mary Yassa | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1881201309 | Quynh-nhu Courtney Truong | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
| Find all providers in zip 33744 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548365 | New Leaf Therapy, LLC | Marriage & Family Therapist | 2331 Nw 69th Ct, Fort Lauderdale, FL 33309-1438 | 2020-11-05 |
| 1114528460 | Matthew Edward Winkles | Marriage & Family Therapist | 1215 E Robinson St, Orlando, FL 32801-2115 | 2020-11-03 |
| 1114526670 | Westside Therapy | Marriage & Family Therapist | 4313 Golfers Cir E, Palm Beach Gardens, FL 33410-4609 | 2020-10-25 |
| 1356940811 | Alexandra Weisz | Marriage & Family Therapist | 3451 Ne 1st Ave Apt M201, Miami, FL 33137-4052 | 2020-10-25 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1831797729 | Becky Aaland | Marriage & Family Therapist | 600 Starkey Rd Apt 1307, Largo, FL 33771-2852 | 2020-10-13 |
| 1275149148 | Ebony Blue-fields | Marriage & Family Therapist | 2933 Nw 170th St, Miami Gardens, FL 33056-4323 | 2020-09-16 |
| 1003420118 | Gisela Karina Ludman Rojzman | Marriage & Family Therapist | 2542 Ne 206th Ter, Miami, FL 33180-1347 | 2020-09-04 |
| 1881208304 | Zuwania Lynette Smith | Marriage & Family Therapist | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 |
| 1699388892 | Damon Pourtahmaseb-sasi | Marriage & Family Therapist | 761 Ne 199th St Apt 204, Miami, FL 33179-3067 | 2020-08-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.