Individual provider Active NPI

Odalis Romero, LMHC, CCMHC

  • Mental Health Counselor
  • Hialeah, FL
National Provider Identifier
1265098859
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21327 Issued in FL
Practice address
658 SE 8TH PL
Hialeah, FL 33010-5618
Phone
(305) 773-5663
NPI assigned
May 20, 2019
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH20255 FL
Mental Health Counselor 101YM0800X MH21327 FL Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

658 SE 8TH PL
Hialeah, FL 33010-5618

Mailing address

658 SE 8TH PL
Hialeah, FL 33010-5618
Phone (305) 773-5663

Other names 1

  • Odalis Vergara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240531003843 FL Practitioner - Mental Health Counselor 8224570510 Reassigns benefits to 3 organizations
I20250203001706 IA Practitioner - Mental Health Counselor 8224570510 Reassigns benefits to 2 organizations
I20260128002352 IN Practitioner - Mental Health Counselor 8224570510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH20255FLMDMental Health Counselor
MH21327FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 24, 2024 Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Jan 10, 2026 Accepting new patients
Sondermind Provider Network LLC CurrentSince Jan 10, 2026 Accepting new patients
Behavioral Turning Point, Inc. CurrentSince Sep 5, 2024 Accepting new patients

Locations

13550 SW 88th St
Ste 180
Miami, FL 33186
Phone (305) 385-9919

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

Organizations & group practices 4

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1265098859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 SE 8TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105618",
            "telephone_number": "305-773-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 SE 8TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105618",
            "telephone_number": "305-773-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ODALIS",
        "name_prefix": "Mrs.",
        "credential": "LMHC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20255",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21327",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODALIS",
            "last_name": "VERGARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.