Active NPI
Ivelice D Lozano Oliver, OWNER
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1174312540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 959 SW 122ND Ave
Miami, FL 33184-2406 - Phone
- (786) 755-2953
- Fax
- (786) 817-2341
- NPI assigned
- May 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | |||
| Mental Health Occupational Therapist | 225XM0800X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychologist | 103T00000X |
Addresses
Primary practice location
959 SW 122ND Ave
Miami, FL 33184-2406
Mailing address
959 SW 122ND Ave
Miami, FL 33184-2406
Phone (786) 755-2953
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Medical Clinic LLC | Mental Health | Current | Accepting new patients |
Locations
959 SW 122nd Ave
Miami, FL 33184
Phone (786) 390-9291
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": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1174312540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 SW 122ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842406",
"telephone_number": "786-755-2953",
"fax_number": "786-817-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 SW 122ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842406",
"telephone_number": "786-755-2953",
"fax_number": "786-817-2341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO OLIVER",
"first_name": "IVELICE",
"middle_name": "D",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.