Individual provider Active NPI

Yeni Corcho Arevalo, CBHCMS

  • Social Worker
  • Hialeah, FL
National Provider Identifier
1023516051
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CBHCM100372 Issued in FL
Practice address
1370 W 83Rd St
Hialeah, FL 33014-3462
Phone
(786) 725-7837
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CBHCM100372 FL Primary
Social Worker 104100000X
Behavior Technician 106S00000X
Registered Nurse 163W00000X RN9473880 FL

Addresses

Primary practice location

1370 W 83Rd St
Hialeah, FL 33014-3462

Mailing address

7382 NW 35TH Ter Unit 106
Miami, FL 33122-1241
Phone (305) 335-9627

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
CBHCM100372FLMDSocial Worker
RN9473880FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven Behavioral Center LLC CurrentSince Sep 23, 2021 Accepting new patients
Caritas Alegres Adult Day Care Inc Current Accepting new patients
Safe Haven Behavioral Center LLC PastSince Sep 23, 2021 Accepting new patients

Locations

7382 NW 35th Ter
Unit 106
Miami, FL 33122
Phone (305) 705-5666

6187 NW 167th St
Ste H26
Miami Gardens, FL 33015
Phone (305) 705-5666

6187 NW 167th St
Unit 106
Miami Gardens, FL 33015

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1023516051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7382 NW 35TH TER UNIT 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221241",
            "telephone_number": "305-335-9627",
            "fax_number": "305-402-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W 83RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143462",
            "telephone_number": "786-725-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCHO AREVALO",
        "first_name": "YENI",
        "credential": "CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCM100372",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9473880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.