Carol Kelly Valdivia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH23316 Issued in FL

Practice address

14401 Old Cutler Rd
Palmetto Bay, FL 33158-1722

Phone

(305) 722-5380

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Wellspring Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmetto Bay, FL
  • NPI 1558686543
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1346958568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BRICKELL BAY DR APT 570",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312937",
            "telephone_number": "954-665-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 OLD CUTLER RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581722",
            "telephone_number": "305-722-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "CAROL",
        "middle_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent DME
• US Health Group LLC
• Arkady Vaknansky, MD
• Aitana Manuela Valdes, PHARMD
• Gladys Valdes
• Robin Maureen Valentino, LMT, MMP
• Cecilia A Vallaro, ISW 18790
• Vanessa Lavina MSN FNP-C LLC
• Sissi Varela Alvarez
• Maria Vargas Rodriguez

• Mental Health Counselor in Palmetto Bay, FL
• Providers in Palmetto Bay, 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 Nov 7, 2022; 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.