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MARIELA DE LOURDES FANTAUZZI
NPI 1689984809
Counselor - Mental Health in West Palm Beach, FL

Active since October 21, 2010PECOS EnrolledAccepts Medicare Assignment
255 EVERNIA ST APT 1516, WEST PALM BEACH, FL 33401(787) 908-0032 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Mariela De Lourdes Fantauzzi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIELA DE LOURDES FANTAUZZI (NPI 1689984809) is an individual mental health provider in West Palm Beach, Florida, licensed in Florida (MH16747) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Isabela, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1689984809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIELA DE LOURDES FANTAUZZI
Location Address255 EVERNIA ST APT 1516West Palm Beach, FL 33401-5691
Mailing Address255 Evernia St Apt 1516West Palm Beach, FL 33401-5691 · (787) 908-0032
Phone(787) 908-0032
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 21, 2010
Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration
✔ NPI 1689984809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH16747
255 EVERNIA ST APT 1516, West Palm Beach, FL 33401
Open in Google Maps ↗

Secondary Practice Location 1

Location 17 Urb Las MargaritasIsabela, PR 00662-2212 · Phone (787) 640-0770

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariela De Lourdes Fantauzzi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648628792
PECOS Enrollment IDI20231129002928
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mariela Fantauzzi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brave Health Inc.
64 mi
Community/Behavioral Health
1951 NW 7TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1821588674 (305) 930-8939

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariela Fantauzzi's NPI number?

The NPI number for Mariela Fantauzzi is 1689984809. It was assigned to this individual provider in the NPPES registry on October 21, 2010.

Where is Mariela Fantauzzi located?

Mariela Fantauzzi practices at 255 Evernia St Apt 1516, West Palm Beach, FL 33401. The listed phone number is (787) 908-0032.

What is Mariela Fantauzzi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mariela Fantauzzi enrolled in Medicare?

Yes. Mariela Fantauzzi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mariela Fantauzzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariela Fantauzzi reassigns Medicare benefits to Brave Health Inc. (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariela Fantauzzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariela Fantauzzi accept?

Health plans from Ambetter Health, Ambetter of Alabama, CareSource, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Mariela Fantauzzi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariela Fantauzzi was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.