JOANNA FONSECA – Mental Health Counselor, NPI 1063052702

JOANNA FONSECA is a healthcare provider. based in Hialeah, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH17639 (FL). The NPI Number for JOANNA FONSECA is 1063052702

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA FONSECA
NPI
1063052702
Phone
(305) 556-3077
Address
4410 W 16TH AVE STE 59
Enumeration Date
10 January 2020
Last Update Date
29 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865481022
Graduation Year
2016 (10 years ago)
PAC ID
0446600183
Group Practice PAC ID
0446164982
Professional Enrollment ID
I20231221001737
Address ID
FL331733286MI9350XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for JOANNA FONSECA

  • 4410 W 16TH AVE STE 59

    HIALEAH, FL 330127194

    Phone: (305) 556-3077

    Type: Location

  • 720 E 15TH PL

    HIALEAH, FL 330103231

    Phone: (305) 332-8559

    Type: Mailing

  • 9350 SUNSET DR STE 151

    MIAMI, FL 331733286

    Phone: (786) 548-1022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231221001737IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446164982View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOANNA FONSECA?
JOANNA FONSECA — NPI 1063052702 — is the standard way to identify this listing.
Does CMS list JOANNA FONSECA as active?
Yes — JOANNA FONSECA is active in the NPI listing used on this page.
What healthcare role does JOANNA FONSECA hold?
Scheduling teams often label JOANNA FONSECA under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does JOANNA FONSECA serve?
JOANNA FONSECA's listing highlights Hialeah, Florida; more addresses can appear in NPPES.
Why does JOANNA FONSECA have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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