Individual provider Active NPI

Vivina Elgueta, LMHC

  • Mental Health Counselor
  • Miami Gardens, FL
National Provider Identifier
1245492404
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9144 Issued in FL
Practice address
111 NW 183Rd St
Suite 500
Miami Gardens, FL 33169-4537
Phone
(305) 892-4600
Fax
(305) 493-0814
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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 MH9144 FL Primary

Addresses

Primary practice location

111 NW 183Rd St
Suite 500
Miami Gardens, FL 33169-4537

Mailing address

111 NW 183Rd St
Suite 500
Miami Gardens, FL 33169-4537
Phone (305) 892-4600

Other names 1

  • Ms. Vivina Elgueta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH9144FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1245492404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 500",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-892-4600",
            "fax_number": "305-493-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 500",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-892-4600",
            "fax_number": "305-493-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGUETA",
        "first_name": "VIVINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVINA",
            "last_name": "ELGUETA",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.