Individual provider Active NPI

Madiane Perez, LMHC, BCBA

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1083872295
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10803 Issued in FL
Practice address
8835 SW 107TH Ave Ste 1044
Miami, FL 33176-1411
Phone
(786) 732-0607
Fax
(786) 732-0637
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10803 FL Primary
Behavior Analyst 103K00000X 1-15-21083 FL

Addresses

Primary practice location

8835 SW 107TH Ave Ste 1044
Miami, FL 33176-1411

Mailing address

8835 SW 107TH Ave Ste 1044
Miami, FL 33176-1411
Phone (786) 732-0607

Other identifiers 1

IdentifierTypeStateIssuer
003762900MedicaidFL

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
I20240304001500 FL Practitioner - Mental Health Counselor 2961847686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10803FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Masterpiece Behavioral Services, LLC Mental Health CurrentSince Jun 25, 2023 Accepting new patients

Locations

3900 NW 79th Ave
Ste 599
Doral, FL 33166

8835 SW 107th Ave
Miami, FL 33176
Phone (786) 732-0607

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

12150 SW 128th Ct
Ste 108
Miami, FL 33186
Phone (786) 732-0607

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": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1083872295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 SW 107TH AVE STE 1044",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761411",
            "telephone_number": "786-732-0607",
            "fax_number": "786-732-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 SW 107TH AVE STE 1044",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761411",
            "telephone_number": "786-732-0607",
            "fax_number": "786-732-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MADIANE",
        "credential": "LMHC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10803",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-15-21083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003762900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.