Individual provider Active NPI

Yessica Ardila

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1073276747
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH19003 Issued in FL
Practice address
7875 SW 104TH St Ste 101
Miami, FL 33156-2642
Phone
(305) 740-8998
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 IMH19003 FL Primary

Addresses

Primary practice location

7875 SW 104TH St Ste 101
Miami, FL 33156-2642

Mailing address

7875 SW 104TH St Ste 101
Miami, FL 33156-2642
Phone (305) 740-8998

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
I20240311002356 FL Practitioner - Mental Health Counselor 7012353238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH19003FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 7, 2025 Accepting new patients
Jewish Community Services of South Florida, Inc. CurrentSince Apr 6, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12000 Biscayne Blvd
Ste 303
North Miami, FL 33181
Phone (305) 403-6513

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, 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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1073276747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562642",
            "telephone_number": "305-740-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562642",
            "telephone_number": "305-740-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDILA",
        "first_name": "YESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.