Individual provider Active NPI

Gustavo Roldan, ED.S., LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1124873104
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23314 Issued in FL
Practice address
13595 SW 134TH Ave Ste 201
Miami, FL 33186-4580
Phone
(305) 984-4577
NPI assigned
Apr 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X MH23314 FL Primary

Addresses

Primary practice location

13595 SW 134TH Ave Ste 201
Miami, FL 33186-4580

Mailing address

13595 SW 134TH Ave Ste 201
Miami, FL 33186-4580
Phone (305) 984-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23314FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Top Health Care LLC Mental Health CurrentSince Jan 19, 2025 Accepting new patients

Locations

13595 SW 134th Ave
Ste 201
Miami, FL 33186
Phone (305) 984-4577

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": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1124873104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864580",
            "telephone_number": "305-984-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13595 SW 134TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864580",
            "telephone_number": "305-984-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "GUSTAVO",
        "credential": "ED.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.