Individual provider Active NPI

Kery Cerne Constantin, LMHC

  • Mental Health Counselor
  • North Miami Beach, FL
National Provider Identifier
1164055547
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17706 Issued in FL
Practice address
16800 NE 15TH Ave
Suite 304
North Miami Beach, FL 33162-2968
Phone
(305) 419-6446
Fax
(305) 419-6446
NPI assigned
Feb 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 MH17706 FL Primary

Addresses

Primary practice location

16800 NE 15TH Ave
Suite 304
North Miami Beach, FL 33162-2968

Mailing address

8403 Pines Blvd
#106
Pembroke Pines, FL 33024-6609
Phone (305) 419-6446

Other names 1

  • Mr. KC Constantin Professional name

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
MH17706FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Life Solutions LLC CurrentSince Nov 14, 2024 Accepting new patients
Unified Counseling & Mediation PLLC PastSince Feb 1, 2020 Accepting new patients

Locations

8403 Pines Blvd
Pembroke Pines, FL 33024
Phone (305) 747-9564

Organizations & group practices 2

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1164055547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 PINES BLVD",
            "address_2": "#106",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246609",
            "telephone_number": "305-419-6446",
            "fax_number": "305-419-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NE 15TH AVE",
            "address_2": "SUITE 304",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622968",
            "telephone_number": "305-419-6446",
            "fax_number": "305-419-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNE CONSTANTIN",
        "first_name": "KERY",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KC",
            "last_name": "CONSTANTIN",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.