Lourdes Socorro Salcedo de la Rosa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

518 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734

Phone

(772) 873-8811

Fax

(772) 873-8800

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1306667548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-873-8811",
            "fax_number": "772-873-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-873-8811",
            "fax_number": "772-873-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO DE LA ROSA",
        "first_name": "LOURDES",
        "middle_name": "SOCORRO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juilene Saint Victor
• Alex B Saint-Jean, MS, RMHCI
• Liziana Rene Saintfleur, APRN,MSN, PMHNP-BC
• Kelly Sakala, M.ED., CRC, PVE
• Sharon Renee Salas, LCSW
• Stephanie Saldivar
• Sherif Saleh
• Shideh Saleki
• Yanedis Salgado Troya, BCBA
• Maitelyn Salgado Sr., BS

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.