Individual provider Active NPI

Rolando Castillo, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1215986906
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 6329 Issued in FL
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

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
762635500MedicaidFL
1215986906OtherFL1215986906
765962800MedicaidFL

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
I20240215000383 FL Practitioner - Mental Health Counselor 0446564868 Reassigns benefits to 1 organization

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
Serenity Community Mental Health Center LLCGroup PAC ID 4587946793, 14 clinicians

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

LicenseStateTypeSpecialty
MH 6329FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jan 10, 2024 Accepting new patients
Serenity Community Mental Health Center, LLC CurrentSince Jan 10, 2024 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.

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

Verify at the official NPI Registry.