Organization Active NPI

Lesley D. Alfonso, LMHC, P.a.

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1194250639
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6643 Issued in FL
Legal business name
LESLEY D. ALFONSO, LMHC, P.A.
Practice address
10406 Taft St
Pembroke Pines, FL 33026-2819
Phone
(954) 436-3880
Fax
(954) 436-3881
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Ms. Lesley Dennisse Alfonso, LMHC
Title
President
Phone
(954) 436-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH6643 FL Primary

Addresses

Primary practice location

10406 Taft St
Pembroke Pines, FL 33026-2819

Mailing address

10406 Taft St
Pembroke Pines, FL 33026-2819
Phone (954) 436-3880

Other identifiers 2

IdentifierTypeStateIssuer
014019800MedicaidFL
013846800MedicaidFL

National Provider Directory

National Provider Directory

Locations

10406 Taft St
Pembroke Pines, FL 33026
Phone (954) 436-3880

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1194250639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262819",
            "telephone_number": "954-436-3880",
            "fax_number": "954-436-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10406 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262819",
            "telephone_number": "954-436-3880",
            "fax_number": "954-436-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLEY D. ALFONSO, LMHC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "DENNISSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-436-3880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014019800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013846800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.