Jose Raul Machuca, PHD., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12212 Issued in FL

Practice address

9822 NE 2ND Ave Ste 2
Miami Shores, FL 33138-2347

Phone

(985) 326-9258

NPI assigned

Mar 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• Resilience and Cognitive Behavior Therapy Center

  • Mental Health Counselor
  • Miami Shores, FL
  • NPI 1750168258
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164664868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 NE 2ND AVE STE 2",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382347",
            "telephone_number": "985-326-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 NE 2ND AVE STE 2",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382347",
            "telephone_number": "985-326-9258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Lafayette St",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701303206",
            "country_code": "US",
            "telephone_number": "504-525-2366",
            "fax_number": "504-525-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "credential": "PHD., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Luz Lopez
• Roseline Louisxvi
• Lowman Med Inc
• Erik Salgado Lowman, D.O.
• Marissa Lum
• Edgar Javier Marcano Terron
• Angelica M Marin
• Marizeli a Olacio DPM PA
• Mark N. Goldberg, M.D. P.a.
• Brittany Martinez, PHARM.D.

• Mental Health Counselor in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.