Individual provider Active NPI

Monica Fuentes, LMHC

  • Mental Health Counselor
  • Cutler Bay, FL
National Provider Identifier
1265861462
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13706 Issued in FL
Practice address
18901 SW 106TH Ave Ste 224
Cutler Bay, FL 33157-7665
Phone
(786) 732-0071
Fax
(305) 964-5435
NPI assigned
Nov 7, 2013
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 IMH 9778 FL
Mental Health Counselor 101YM0800X MH13706 FL Primary

Addresses

Primary practice location

18901 SW 106TH Ave Ste 224
Cutler Bay, FL 33157-7665

Mailing address

18901 SW 106TH Ave Ste 224
Cutler Bay, FL 33157-7665
Phone (786) 732-0071

Other identifiers 1

IdentifierTypeStateIssuer
011938200MedicaidFL

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
I20240213003883 FL Practitioner - Mental Health Counselor 3173977907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18901 SW 106TH Ave
Suite 224
Cutler Bay, FL 33157-7665
Phone (786) 732-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH 9778FLMDMental Health Counselor
MH13706FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Mental Health, Inc. Current Accepting new patients

Locations

18901 SW 106th Ave
Ste 224
Cutler Bay, FL 33157
Phone (786) 732-0071

Organizations & group practices 2

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1265861462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 224",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577665",
            "telephone_number": "786-732-0071",
            "fax_number": "305-964-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 224",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577665",
            "telephone_number": "786-732-0071",
            "fax_number": "305-964-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MONICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 9778",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011938200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.