Individual provider Active NPI

Renee Rosado, LMHC

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1003528894
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21603 Issued in FL
Practice address
140 NE 4TH Ave
Delray Beach, FL 33483-4570
Phone
(561) 808-7986
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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 MH21603 FL Primary

Addresses

Primary practice location

140 NE 4TH Ave
Delray Beach, FL 33483-4570

Mailing address

11420 NW 30TH PL
Sunrise, FL 33323-1628
Phone (954) 804-8007

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
I20240514000702 FL Practitioner - Mental Health Counselor 0941641591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Mar 17, 2024 Accepting new patients
South Broward Hospital District CurrentSince Mar 17, 2024 Accepting new patients
Reco Island Detox LLC CurrentSince Mar 24, 2025 Accepting new patients
South Broward Hospital District Current Accepting new patients
Reco Intensive Op, LLC PastSince Dec 28, 2022 Accepting new patients

Locations

140 NE 4th Ave
Delray Beach, FL 33483
Phone (561) 808-7986

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 5

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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1003528894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 NW 30TH PL",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231628",
            "telephone_number": "954-804-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NE 4TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834570",
            "telephone_number": "561-808-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "RENEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.