Individual provider Active NPI

Herman E. Vega, PHD, AP, LMHC

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1235188905
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2630 Issued in FL
Practice address
14411 Commerce Way Ste 315
Miami Lakes, FL 33016-1532
Phone
(305) 644-7294
Fax
(305) 644-7295
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 1008 FL
Mental Health Counselor 101YM0800X MH2630 FL Primary

Addresses

Primary practice location

14411 Commerce Way Ste 315
Miami Lakes, FL 33016-1532

Mailing address

14411 Commerce Way Ste 316
Miami Lakes, FL 33016-1532
Phone (305) 644-7294

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
I20240919000633 FL Practitioner - Mental Health Counselor 9537600457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH2630FLMDMental Health Counselor
AP 1008FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab Services Inc CurrentSince Jul 27, 2024 Accepting new patients

Locations

14411 Commerce Way
Ste 315
Miami Lakes, FL 33016
Phone (305) 644-7294

14505 Commerce Way
Ste 511
Miami Lakes, FL 33016

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1683590400000",
    "number": "1235188905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 316",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "305-644-7294",
            "fax_number": "305-644-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 315",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161532",
            "telephone_number": "305-644-7294",
            "fax_number": "305-644-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "HERMAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PHD, AP, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1008",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.