Individual provider Active NPI

Yanet Avila

  • Case Manager/Care Coordinator
  • Doral, FL
National Provider Identifier
1063019438
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCMS.0101038 Issued in FL
Practice address
11402 NW 41St St Unit 206
Doral, FL 33178-4859
Phone
(786) 875-7555
Fax
(305) 373-3474
NPI assigned
Oct 7, 2020
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MCAP.0101235 FL
Case Manager/Care Coordinator 171M00000X CBHCMS.0101038 FL Primary
Behavior Technician 106S00000X 25-410242 FL

Addresses

Primary practice location

11402 NW 41St St Unit 206
Doral, FL 33178-4859

Mailing address

11402 NW 41St St Unit 206
Doral, FL 33178-4859
Phone (305) 373-3424

Other names 1

  • Yanet Vega Former name

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
MCAP.0101235FLMDMental Health Counselor
25-410242FLMDBehavior Technician
CBHCMS.0101038FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Avila Health Group LLC CurrentSince Oct 1, 2020 Accepting new patients
Abide Behavioral Health Services LLC Current Accepting new patients

Locations

11402 NW 41st St
Unit 206
Doral, FL 33178
Phone (305) 373-3424

8323 NW 12th St
Ste 206
Doral, FL 33126
Phone (305) 373-3424

419 W 49th St
Ste 218
Hialeah, FL 33012
Phone (305) 231-8787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1063019438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 NW 41ST ST UNIT 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784859",
            "telephone_number": "305-373-3424",
            "fax_number": "305-373-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 NW 41ST ST UNIT 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784859",
            "telephone_number": "786-875-7555",
            "fax_number": "305-373-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "YANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MCAP.0101235",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS.0101038",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "25-410242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANET",
            "last_name": "VEGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.