Active NPI
Carlos Enrique Mendez, LMHC
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1124638408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20832
- Practice address
- 2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519 - Phone
- (954) 731-5100
- NPI assigned
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | IMH17157 | FL | |
| Mental Health Counselor | 101YM0800X | MH20832 | FL | Primary |
Addresses
Primary practice location
2900 W Prospect Rd
Fort Lauderdale, FL 33309-2519
Mailing address
4740 N State Road 7 Ste 201
Lauderdale Lakes, FL 33319-5839
Other practice location 1
7511 Sheridan St
Hollywood, FL 33024-2637
Phone (954) 662-5679
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 |
|---|---|---|---|
| IMH17157 | FL | MD | Mental Health Counselor |
| MH20832 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1124638408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 N STATE ROAD 7 STE 201",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W PROSPECT RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333092519",
"telephone_number": "954-731-5100"
}
],
"practiceLocations": [
{
"address_1": "7511 Sheridan St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242637",
"country_code": "US",
"telephone_number": "954-662-5679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "CARLOS",
"middle_name": "ENRIQUE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH17157",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.