Individual provider Active NPI

Iris Pitaluga, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1164630760
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0003991 Issued in FL
Practice address
1390 S Dixie Hwy Ste 1107
Coral Gables, FL 33146-2936
Phone
(305) 648-9344
Fax
(305) 648-9346
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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 MH3991 FL
Mental Health Counselor 101YM0800X MH0003991 FL Primary

Addresses

Primary practice location

1390 S Dixie Hwy Ste 1107
Coral Gables, FL 33146-2936

Mailing address

1390 S Dixie Hwy Ste 1107
Coral Gables, FL 33146-2936
Phone (305) 648-9344

Other identifiers 2

IdentifierTypeStateIssuer
Z9976OtherFLBLUE CROSS BLUE SHIELD
MH 0003991OtherFLMENTAL HEALTH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000664 FL Practitioner - Mental Health Counselor 5698734473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH0003991FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 26, 2024 Accepting new patients
Alternatives Counseling Center Inc. Mental Health Current Accepting new patients

Locations

1390 S Dixie Hwy
Ste 1107
Coral Gables, FL 33146
Phone (305) 648-9344

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1164630760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY STE 1107",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462936",
            "telephone_number": "305-648-9344",
            "fax_number": "305-648-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY STE 1107",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462936",
            "telephone_number": "305-648-9344",
            "fax_number": "305-648-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITALUGA",
        "first_name": "IRIS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH3991",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0003991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "Z9976",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH LICENSE",
            "identifier": "MH 0003991",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.