Individual provider Active NPI

Yahaira Castro

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1003352188
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14256 Issued in FL
Practice address
18955 SW 136TH Ave
Miami, FL 33177-7172
Phone
(786) 738-6468
Fax
(786) 551-0212
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 MH14256 FL Primary

Addresses

Primary practice location

18955 SW 136TH Ave
Miami, FL 33177-7172

Mailing address

PO Box 770275
Miami, FL 33177-0005
Phone (786) 738-6468

Other practice location 1

11835 SW 236th St
Homestead, FL 33032-6030
Phone (786) 683-3641

Other practice location 2

13054 SW 133rd Ct
Miami, FL 33186-5855
Phone (786) 738-6468

Other identifiers 2

IdentifierTypeStateIssuer
018649700MedicaidFL
100268300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH14256FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health of Miami Inc Mental Health CurrentSince Jan 1, 2020 Accepting new patients

Locations

13335 SW 124th St
Ste 110
Miami, FL 33186
Phone (786) 738-6468

13054 SW 133rd Ct
Miami, FL 33186
Phone (305) 771-2755

13200 SW 128th St
Ste A2
Miami, FL 33186
Phone (305) 234-1828

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1003352188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770005",
            "telephone_number": "786-738-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777172",
            "telephone_number": "786-738-6468",
            "fax_number": "786-551-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11835 SW 236th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330326030",
            "country_code": "US",
            "telephone_number": "786-683-3641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13054 SW 133rd Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331865855",
            "country_code": "US",
            "telephone_number": "786-738-6468",
            "fax_number": "786-551-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "YAHAIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018649700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.