Individual provider Active NPI

Jennifer Sotolongo, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1114565074
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17444 Issued in FL
Practice address
14740 SW 26TH St Ste 107
Miami, FL 33185-5948
Phone
(305) 388-1118
Fax
(305) 223-3242
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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 MH17444 FL Primary

Addresses

Primary practice location

14740 SW 26TH St Ste 107
Miami, FL 33185-5948

Mailing address

14740 SW 26TH St Ste 107
Miami, FL 33185-5948
Phone (305) 388-1118

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

LicenseStateTypeSpecialty
MH17444FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Center for Family Development Current Accepting new patients

Organizations & group practices 1

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1114565074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 SW 26TH ST STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855948",
            "telephone_number": "305-388-1118",
            "fax_number": "305-223-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 SW 26TH ST STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855948",
            "telephone_number": "305-388-1118",
            "fax_number": "305-223-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOLONGO",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17444",
            "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 Dec 11, 2019; 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.