Individual provider Active NPI

Grettel Carballo, LMHC

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1073185864
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-76451 Issued in FL
Practice address
8001 NW 166TH St
Miami Lakes, FL 33016-3421
Phone
(786) 427-3710
NPI assigned
Jul 12, 2021
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH19055 NU
Mental Health Counselor 101YM0800X MH19055 FL
Behavior Analyst 103K00000X NU
Behavior Analyst 103K00000X 1-24-76451 FL Primary

Addresses

Primary practice location

8001 NW 166TH St
Miami Lakes, FL 33016-3421

Mailing address

8001 NW 166TH St
Miami Lakes, FL 33016-3421
Phone (786) 427-3710

Other identifiers 1

IdentifierTypeStateIssuer
MH19055OtherLMHC

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
I20240401002873 FL Practitioner - Mental Health Counselor 3971941634 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Clinical Center LLC CurrentSince Mar 1, 2024 Accepting new patients
Spectrum Mental Health Corp CurrentSince Sep 9, 2024 Accepting new patients
Revive Mental Health Center LLC CurrentSince Aug 21, 2024 Accepting new patients
Esperanza Group LLC Behavior Analyst Past Accepting new patients

Locations

900 W 49th St
Ste B1
Hialeah, FL 33012
Phone (305) 850-3316

10300 Sunset Dr
Ste 261D
Miami, FL 33173
Phone (786) 327-3694

1901 W Flagler St
Ste 7
Miami, FL 33135
Phone (786) 612-5973

8370 W Flagler St
Ste 232
Miami, FL 33144
Phone (305) 551-9669

Organizations & group practices 4

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1073185864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 NW 166TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163421",
            "telephone_number": "786-427-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 NW 166TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163421",
            "telephone_number": "786-427-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLO",
        "first_name": "GRETTEL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": "MH19055",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19055",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-76451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH19055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.