Individual provider Active NPI

Luisa Elizabeth Villagomez, LMHC

  • Mental Health Counselor
  • Tamarac, FL
National Provider Identifier
1053018218
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8678 Issued in FL
Practice address
7491 W Oakland Park Blvd
Tamarac, FL 33319-4989
Phone
(954) 746-5667
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 MH8678 FL Primary

Addresses

Primary practice location

7491 W Oakland Park Blvd
Tamarac, FL 33319-4989

Mailing address

7491 W Oakland Park Blvd
Tamarac, FL 33319-4989
Phone (954) 746-5667

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
I20231221002315 FL Practitioner - Mental Health Counselor 5890145551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8678FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Counseling Center Mental Health CurrentSince Jan 24, 2025 Accepting new patients

Locations

7737 N University Dr
Ste 202
Tamarac, FL 33321
Phone (954) 323-4827

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1053018218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194989",
            "telephone_number": "954-746-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194989",
            "telephone_number": "954-746-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGOMEZ",
        "first_name": "LUISA",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.