Individual provider Active NPI

Idalmis Nodal, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1215295068
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 9656 Issued in FL
Practice address
9600 SW 8TH St
Suite # 1
Miami, FL 33174-2900
Phone
(305) 559-8838
Fax
(305) 559-6608
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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 9656 FL Primary

Addresses

Primary practice location

9600 SW 8TH St
Suite # 1
Miami, FL 33174-2900

Mailing address

15630 SW 58TH St
Miami, FL 33193-2524
Phone (786) 247-6496

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
I20240508003533 FL Practitioner - Mental Health Counselor 1456792407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homestead Behavioral Clinic, IncGroup PAC ID 4082507249, 10 clinicians

Practice addresses (Care Compare)

654 NE 9TH PL
Homestead, FL 33030-4934
Phone 3052483488215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 9656FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Behavioral Clinic, Inc. Mental Health CurrentSince Mar 26, 2024 Accepting new patients

Locations

654 NE 9th Pl
Homestead, FL 33030
Phone (305) 247-2884

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1215295068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 SW 58TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932524",
            "telephone_number": "786-247-6496",
            "fax_number": "305-383-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE # 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "305-559-8838",
            "fax_number": "305-559-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODAL",
        "first_name": "IDALMIS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.