Active NPI
Luz Dejesus
- Pastoral Counselor
- Cutler Bay, FL
National Provider Identifier
1174910509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 16388
- Practice address
- 10680 SW 186TH St
36
Cutler Bay, FL 33157-6720 - Phone
- (305) 969-9448
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 16388 | ZZ | Primary |
Addresses
Primary practice location
10680 SW 186TH St
36
Cutler Bay, FL 33157-6720
Mailing address
26600 SW 146TH CT
505
Homestead, FL 33032-6507
Phone (305) 969-9448
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16388 | ZZ | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1174910509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26600 SW 146TH CT",
"address_2": "505",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330326507",
"telephone_number": "305-969-9448",
"fax_number": "305-969-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10680 SW 186TH ST",
"address_2": "36",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576720",
"telephone_number": "305-969-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESUS",
"first_name": "LUZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "ZZ",
"license": "16388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.