Mercedes Carballo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10677 Issued in FL

Practice address

2711 SW 137TH Ave
Suite 85
Miami, FL 33175-6359

Phone

(305) 310-4245

NPI assigned

May 26, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children'S Wellness

  • Mental Health Counselor
  • Miami, FL
  • NPI 1639790082
  NPD Authorized official

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1013175223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE.",
            "address_2": "SUITE 85",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-310-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE",
            "address_2": "SUITE 85",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756359",
            "telephone_number": "305-310-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLO",
        "first_name": "MERCEDES",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003504800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Carballo, D.P.M.
• Leydi Carballo, ARNP
• Linda Friedberg Carballo, MSPT
• Maria Carballo
• Maria Caridad Carballo, ARNP
• Rafael Carballo, FNP-BC
• Sarah Alexis Carballo, D.P.T.
• Yamilis Carballo
• Betsy Carballosa Abreu
• Lilian R Carballosa

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.