Individual provider Active NPI

Nicolas Ledon

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1043641137
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11659 Issued in FL
Practice address
4300 Biscayne Blvd Ste 203
Miami, FL 33137-3255
Phone
(786) 514-6362
NPI assigned
Nov 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 MH11659 FL Primary

Addresses

Primary practice location

4300 Biscayne Blvd Ste 203
Miami, FL 33137-3255

Mailing address

4300 Biscayne Blvd Ste 203
Miami, FL 33137-3255
Phone (786) 514-6362

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
MH11659FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baypoint Therapy LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

4300 Biscayne Blvd
Ste 203
Miami, FL 33137
Phone (817) 412-3067

9999 NE 2nd Ave
Ste 311
Miami Shores, FL 33138
Phone (305) 762-5411

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1043641137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BISCAYNE BLVD STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373255",
            "telephone_number": "786-514-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BISCAYNE BLVD STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373255",
            "telephone_number": "786-514-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDON",
        "first_name": "NICOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11659",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 29, 2023; 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.