Lourdes U Botana, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW5528 Issued in FL

Practice address

9995 SW 72ND St Ste 201
Miami, FL 33173-4662

Phone

(305) 271-0055

Fax

(305) 630-3738

NPI assigned

Feb 28, 2007

Last updated

May 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
  • NPI 1235736760
  NPD (past)
• Agape Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
  • NPI 1326191156
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1356478838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "305-595-2590",
            "fax_number": "305-595-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-271-0055",
            "fax_number": "305-630-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTANA",
        "first_name": "LOURDES",
        "middle_name": "U",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Bossart
• Dasha Naiym Bostic
• Ian Christopher Bostock Rosenzweig, M.D.
• Boswell Medical Group, P.a.
• Shantel Boswell, RN
• Teddy Botana
• Marisol Botanes Oliva
• Mihaela Adriana Bote, R.D., M.S.
• Cristina Botero Fonnegra, MD
• Carolina Botero

• Mental Health Counselor in Miami, FL
• Providers in Miami, 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 May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.