Organization Active NPI

Juan B Pena Counseling Services LCSW PLLC

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1083173330
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUAN B PENA COUNSELING SERVICES LCSW PLLC
Practice address
17501 SW 152ND Ave
Miami, FL 33187-6311
Phone
(347) 688-3672
Fax
(718) 228-7361
NPI assigned
Mar 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Authorized official

Name
Juan B Pena, LCSWNPI 1043731854
Title
Owner
Phone
(347) 688-7362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

17501 SW 152ND Ave
Miami, FL 33187-6311

Mailing address

17501 SW 152ND Ave
Miami, FL 33187-6311
Phone (347) 688-3672

Other practice location 1

26 Court St Ste 1009
Brooklyn, NY 11242-1110
Phone (347) 688-7362

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1083173330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 SW 152ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876311",
            "telephone_number": "347-688-3672",
            "fax_number": "718-228-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 SW 152ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876311",
            "telephone_number": "347-688-3672",
            "fax_number": "718-228-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 1009",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421110",
            "country_code": "US",
            "telephone_number": "347-688-7362",
            "fax_number": "718-228-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUAN B PENA COUNSELING SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2022-07-04",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-688-7362",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.