Organization Active NPI

Mentalia Corp.

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1336029560
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTALIA CORP.
Practice address
1165 NW 184TH Way
Pembroke Pines, FL 33029-3633
Phone
(954) 608-1091
Fax
(800) 451-0866
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Ana Maria Lopez Medrano, LMHC
Title
Owner
Phone
(954) 608-1091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1165 NW 184TH Way
Pembroke Pines, FL 33029-3633

Mailing address

1165 NW 184TH Way
Pembroke Pines, FL 33029-3633
Phone (954) 608-1091

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1336029560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NW 184TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293633",
            "telephone_number": "954-608-1091",
            "fax_number": "800-451-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NW 184TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293633",
            "telephone_number": "954-608-1091",
            "fax_number": "800-451-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALIA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MEDRANO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-608-1091",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.