Individual provider Active NPI

Vanessa De la Llama, MS, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1316422884
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16351 Issued in FL
Practice address
5016 SW 72ND Ave
Miami, FL 33155-5529
Phone
(305) 916-6148
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16351 FL Primary

Addresses

Primary practice location

5016 SW 72ND Ave
Miami, FL 33155-5529

Mailing address

5016 SW 72ND Ave
Miami, FL 33155-5529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3416 W 84TH St
Suite 100
Hialeah, FL 33018-4934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH16351FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1316422884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555529",
            "telephone_number": "305-916-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA LLAMA",
        "first_name": "VANESSA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.