Individual provider Active NPI

Angel M Aguasvivas, MHC

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1003143694
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10008 Issued in FL
Practice address
7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063
Phone
(954) 341-1022
NPI assigned
Nov 3, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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 MH10008 FL Primary

Addresses

Primary practice location

7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063

Mailing address

7501 Wiles Rd Ste 105
Coral Springs, FL 33067-2063
Phone (954) 341-1022

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
I20251219002634 FL Practitioner - Mental Health Counselor 5092194043

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2244 SW 27TH St
Cape, FL 33914-3920

230 NW 87TH Ave
Apt I218
Miami, FL 33172-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10008FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Firts Perfect Wellness LLC CurrentSince Nov 10, 2025 Accepting new patients
Firts Perfect Wellness LLC CurrentSince Nov 10, 2025 Accepting new patients
Behavior Support Center of Florida Inc Past Accepting new patients

Locations

8001 W 26th Ave
Unit 2
Hialeah, FL 33016
Phone (786) 360-2630

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1003143694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-341-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-341-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUASVIVAS",
        "first_name": "ANGEL",
        "middle_name": "M",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.