Active NPI
Mentalia Corp.
- Mental Health Counselor
- Pembroke Pines, FL
National Provider Identifier
1336029560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
- Last updated
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Pembroke Pines, FL
- NPI 1528599354
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.