Individual provider Active NPI

Nubia Santos, MS,MED, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1053664995
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11122 Issued in FL
Practice address
25 SE 2ND Ave.
Suite 313
Miami, FL 33131-1509
Phone
(561) 212-9121
Fax
(305) 359-9121
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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 MH11122 FL Primary

Addresses

Primary practice location

25 SE 2ND Ave.
Suite 313
Miami, FL 33131-1509

Mailing address

25 SE 2ND Ave.
Suite 313
Miami, FL 33131-1509
Phone (561) 212-9121

Other identifiers 1

IdentifierTypeStateIssuer
Z04MROtherFLBCBS OF FL

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
I20250107003701 FL Practitioner - Mental Health Counselor 1951839760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Jacksonville, FL 32205
Phone (787) 719-4477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nubia Santos Ms Med LMHC Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

25 SE 2nd Ave
Ste 313
Miami, FL 33131
Phone (561) 212-0541

Interoperability endpoints

  • Direct secure messaging: nubiasantos@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1053664995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE.",
            "address_2": "SUITE 313",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311509",
            "telephone_number": "561-212-9121",
            "fax_number": "305-359-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE.",
            "address_2": "SUITE 313",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311509",
            "telephone_number": "561-212-9121",
            "fax_number": "305-359-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "NUBIA",
        "credential": "MS,MED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Z04MR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.