Active NPI
Dolores Cristina De la Cuesta, MS
- Mental Health Counselor
- Hollywood, FL
National Provider Identifier
1184665481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9900 Stirling Rd Ste 103
Hollywood, FL 33024-8073 - Phone
- (954) 300-2921
- Fax
- (954) 529-2001
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9900 Stirling Rd Ste 103
Hollywood, FL 33024-8073
Mailing address
17658 SW 135TH CT
Miami, FL 33177-7158
Phone (786) 306-7866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765647500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1184665481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17658 SW 135TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331777158",
"telephone_number": "786-306-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 STIRLING RD STE 103",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330248073",
"telephone_number": "954-300-2921",
"fax_number": "954-529-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CUESTA",
"first_name": "DOLORES",
"middle_name": "CRISTINA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765647500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.