Active NPI
Rolando Castillo, LMHC
- Mental Health Counselor
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 6329
- Practice address
- 3621 SW 107TH Ave
Miami, FL 33165-3636 - Phone
- (305) 608-3383
- Fax
- (786) 534-7118
- NPI assigned
- May 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | MH 6329 | FL | Primary |
Addresses
Primary practice location
3621 SW 107TH Ave
Miami, FL 33165-3636
Mailing address
4544 SW 132ND CT
Miami, FL 33175-3948
Phone (305) 775-6634
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762635500 | Medicaid | FL | |
| 1215986906 | Other | FL | 1215986906 |
| 765962800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3621 SW 107TH Ave
Miami, FL 33165-3636
Phone (786) 534-8366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 6329 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Community Mental Health Center LLC | Current | Accepting new patients | |
| Partnership Center Inc | Mental Health | Current | Accepting new patients |
| Serenity Community Mental Health Center LLC | Current | Accepting new patients | |
| Serenity Community Mental Health Center, LLC | Current | Accepting new patients | |
| Serenity Community Mental Health Center LLC | Past | Accepting new patients |
Locations
3621 SW 107th Ave
Miami, FL 33165
Phone (305) 221-6862
12542 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 391-9478
4160 N Armenia Ave
Ste A
Tampa, FL 33607
Phone (786) 534-8366
110 Century Blvd
Ste 200
West Palm Beach, FL 33417
Phone (561) 282-2960
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1457705634
-
- Community/Behavioral Health Agency
- Pembroke Pines, FL
- NPI 1497328496
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1922774504
-
- Community/Behavioral Health Agency
- Saint Cloud, FL
- NPI 1952077539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1215986906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4544 SW 132ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753948",
"telephone_number": "305-775-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 SW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653636",
"telephone_number": "305-608-3383",
"fax_number": "786-534-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ROLANDO",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 6329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762635500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1215986906",
"identifier": "1215986906",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765962800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.