MADELIN TAVERAS – Mental Health Counselor, NPI 1609390368

MADELIN TAVERAS is a healthcare provider. based in Miami, Florida. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MADELIN TAVERAS is 1609390368

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MADELIN TAVERAS
NPI
1609390368
Phone
(305) 262-0099
Address
283 PARK BLVD
Enumeration Date
3 August 2017
Last Update Date
3 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052620099
Graduation Year
2017 (9 years ago)
PAC ID
0941646905
Group Practice PAC ID
3971693920
Professional Enrollment ID
I20240312004205
Address ID
FL331268000MI7915XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for MADELIN TAVERAS

  • Park Boulevard, Miami-Dade County, Florida, 33172-2808, United States

    MIAMI, FL 331268010

    Phone: (305) 262-0099

    Type: Location

  • 1236 SW 7TH ST APT 7

    MIAMI, FL 331354048

    Phone:

    Type: Mailing

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: 2024-03-12

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
I20240312004205IMental 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 33126)

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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: 3971693920View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

How is MADELIN TAVERAS identified in CMS data?
CMS-hosted NPPES data lists MADELIN TAVERAS with NPI 1609390368.
Can I rely on MADELIN TAVERAS being an active provider?
As of the registry snapshot, MADELIN TAVERAS is marked active.
What healthcare role does MADELIN TAVERAS hold?
Scheduling teams often label MADELIN TAVERAS under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MADELIN TAVERAS list a practice location?
Patients near Miami, Florida may find MADELIN TAVERAS in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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