Active NPI
Vanessa Paola Andrade
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1275965139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12961
- Practice address
- 7900 NW 27TH Ave Ste E-12
Miami, FL 33147-4909 - Phone
- (786) 318-2337
- Fax
- (305) 575-1158
- NPI assigned
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12961 | FL | Primary |
Addresses
Primary practice location
7900 NW 27TH Ave Ste E-12
Miami, FL 33147-4909
Mailing address
7900 NW 27TH Ave Ste E-12
Miami, FL 33147-4909
Phone (786) 318-2337
Other practice location 1
800 NW 28th St
Miami, FL 33127-4046
Phone (305) 634-3409 ext. 117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH12961 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH12961 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- vanessaandrade@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275965139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 NW 27TH AVE STE E-12",
"city": "MIAMI",
"state": "FL",
"postal_code": "331474909",
"telephone_number": "786-318-2337",
"fax_number": "305-575-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 NW 27TH AVE STE E-12",
"city": "MIAMI",
"state": "FL",
"postal_code": "331474909",
"telephone_number": "786-318-2337",
"fax_number": "305-575-1158"
}
],
"practiceLocations": [
{
"address_1": "800 NW 28th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331274046",
"country_code": "US",
"telephone_number": "305-634-3409 x117",
"fax_number": "305-635-3524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRADE",
"first_name": "VANESSA",
"middle_name": "PAOLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "MH12961",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.