Individual provider Active NPI

Dora M Santos, LMHC

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1184633299
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 4696 Issued in FL
Practice address
1806 N Flamingo Rd Ste 347
Pembroke Pines, FL 33028-1040
Phone
(954) 288-7362
Fax
(954) 827-7680
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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 MH 4696 FL Primary

Addresses

Primary practice location

1806 N Flamingo Rd Ste 347
Pembroke Pines, FL 33028-1040

Mailing address

1806 N Flamingo Rd Ste 347
Pembroke Pines, FL 33028-1040
Phone (954) 288-7362

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
I20250224000330 FL Practitioner - Mental Health Counselor 5092124164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 4696FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Behavioral Health, Inc Mental Health Current Accepting new patients
Mental Health Services Corp CurrentSince Jan 16, 2025 Accepting new patients
Mental Health Services Corp Past Accepting new patients

Locations

1806 N Flamingo Rd
Ste 347
Pembroke Pines, FL 33028
Phone (877) 354-5338

Organizations & group practices 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1184633299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 347",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281040",
            "telephone_number": "954-288-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N FLAMINGO RD STE 347",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281040",
            "telephone_number": "954-288-7362",
            "fax_number": "954-827-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "DORA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.