Active NPI
Lourdes Lavandera Herrera, PSYD
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1104988005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMI24
- Practice address
- 99959 99 SW 72 St
#213
Miami, FL 33173 - Phone
- (305) 275-0045
- Fax
- (305) 275-9912
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMI24 | FL | Primary |
| School Psychologist | 103TS0200X | SS251 | FL |
Addresses
Primary practice location
99959 99 SW 72 St
#213
Miami, FL 33173
Mailing address
99959 99 SW 72 St
#213
Miami, FL 33173
Phone (305) 275-0045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS251 | Other | FL | SCHOOL PSYCHOLOGIST |
| MH124 | Other | FL | MENTAL HEALTH COUNSELOR 9 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMI24 | FL | MD | Mental Health Counselor |
| SS251 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1104988005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99959 99 SW 72 ST",
"address_2": "#213",
"city": "MIAMI",
"state": "FL",
"postal_code": "33173",
"telephone_number": "305-275-0045",
"fax_number": "305-275-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99959 99 SW 72 ST",
"address_2": "#213",
"city": "MIAMI",
"state": "FL",
"postal_code": "33173",
"telephone_number": "305-275-0045",
"fax_number": "305-275-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "LOURDES",
"middle_name": "LAVANDERA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "LMI24",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS251",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL PSYCHOLOGIST",
"identifier": "SS251",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR 9",
"identifier": "MH124",
"state": "FL"
}
],
"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 Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.