Individual provider Active NPI

Julio C Perez-Delgado, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1124322011
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12050 Issued in FL
Practice address
13595 SW 134TH Ave Ste 101
Miami, FL 33186-4579
Phone
(786) 592-2323
Fax
(305) 713-1207
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X MH12050 FL Primary

Addresses

Primary practice location

13595 SW 134TH Ave Ste 101
Miami, FL 33186-4579

Mailing address

888 Brickell Key Dr Apt 406
Miami, FL 33131-2604
Phone (786) 592-2323

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
MH12050FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emphour, Inc Mental Health CurrentSince Aug 6, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Hour Bliss, Inc Mental Health PastSince Aug 6, 2019 Accepting new patients
Waterfalls Up, Inc Mental Health PastSince Aug 6, 2019 Accepting new patients

Locations

13595 SW 134th Ave
Ste 101
Miami, FL 33186
Phone (305) 780-2358

Interoperability endpoints

  • Direct secure messaging: julioperezdelgado@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1124322011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BRICKELL KEY DR APT 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312604",
            "telephone_number": "786-592-2323",
            "fax_number": "305-713-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864579",
            "telephone_number": "786-592-2323",
            "fax_number": "305-713-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-DELGADO",
        "first_name": "JULIO",
        "middle_name": "C",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12050",
            "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 27, 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.