Individual provider Active NPI

Victor Cuevas

  • Mental Health Counselor
  • Sweetwater, FL
National Provider Identifier
1306289400
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH 14704 Issued in FL
Practice address
1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732
Phone
(786) 762-2952
NPI assigned
Apr 9, 2013
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 14704 FL Primary
Cognitive & Behavioral Psychologist 103TB0200X NU

Addresses

Primary practice location

1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732

Mailing address

1414 NW 107TH Ave
Suite 109
Sweetwater, FL 33172-2732
Phone (786) 762-2952

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
IMH 14704FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1306289400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE",
            "address_2": "SUITE 109",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722732",
            "telephone_number": "786-762-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW 107TH AVE",
            "address_2": "SUITE 109",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722732",
            "telephone_number": "786-762-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 14704",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.