Rosina Esther Altamiranda, MH11013

Individual provider Active NPI Mental Health Counselor · Pinecrest, FL

NPI 1215266234 · NPPES record last updated Jun 4, 2019

Key facts

NPI
1215266234
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH11013 (FL)
Practice address
11921 S Dixie Hwy Ste 215
Pinecrest, FL 33156
Phone
(786) 718-3890
Fax
(305) 238-3511
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 13, 2024 through Jun 13, 2028

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH11013FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Counseling Services LLC Mental Health Past
since Jul 25, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11013 FL Yes

Addresses

Primary practice location

11921 S Dixie Hwy Ste 215
Pinecrest, FL 33156

Mailing address

11921 S Dixie Hwy Ste 215
Pinecrest, FL 33156-4449
Phone (786) 718-3890

Other practice location 1

7800 SW 57th Ave
South Miami, FL 33143-5528
Phone (305) 662-1095

Other providers in Pinecrest, FL

All providers in Pinecrest, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.