Individual provider Active NPI

Juan P Villatoro, RMHCI

  • Psychiatric/Mental Health Registered Nurse
  • Boca Raton, FL
National Provider Identifier
1316537830
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
13869 Issued in FL
Practice address
6971 N Federal Hwy Ste 206
Boca Raton, FL 33487-1648
Phone
(561) 408-1098
Fax
(561) 408-1099
NPI assigned
Jan 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 13869 FL Primary

Addresses

Primary practice location

6971 N Federal Hwy Ste 206
Boca Raton, FL 33487-1648

Mailing address

729 Middle St
Fort Lauderdale, FL 33312-7158
Phone (954) 658-6299

Other names 1

  • Juan Pablo Villatoro Former name

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
13869FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling & Consulting, Inc. CurrentSince Jan 24, 2021 Accepting new patients

Locations

6971 N Federal Hwy
Ste 206
Boca Raton, FL 33487
Phone (561) 408-1098

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1316537830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 MIDDLE ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127158",
            "telephone_number": "954-658-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 N FEDERAL HWY STE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871648",
            "telephone_number": "561-408-1098",
            "fax_number": "561-408-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLATORO",
        "first_name": "JUAN",
        "middle_name": "P",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "13869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN PABLO",
            "last_name": "VILLATORO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.