Individual provider Active NPI

Aurelio Ayuso, LCSW

  • Clinical Social Worker
  • Fort Pierce, FL
National Provider Identifier
1356881544
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13870 Issued in FL
Practice address
725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone
(772) 252-4014
Fax
(772) 999-5577
NPI assigned
Mar 7, 2017
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X SW13870 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X SW13870 FL
Mental Health Counselor 101YM0800X SW13870 FL
Professional Counselor 101YP2500X SW13870 FL
Clinical Social Worker 1041C0700X SW13870 FL Primary

Addresses

Primary practice location

725 N US Highway 1
Fort Pierce, FL 34950-9125

Mailing address

1631 SW Buffum LN
Port Saint Lucie, FL 34984-3529
Phone (772) 337-8500

Other practice location 1

981 37th Pl
Vero Beach, FL 32960-6541
Phone (772) 492-3427

Other practice location 2

1497 SW Martin Downs Blvd
Palm City, FL 34990-2802
Phone (772) 337-8500 ext. 102

Other identifiers 1

IdentifierTypeStateIssuer
103672400MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13870FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Clinic, LLC PastSince Mar 7, 2021 Accepting new patients
NDS, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJGJCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1356881544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 SW BUFFUM LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843529",
            "telephone_number": "772-337-8500",
            "fax_number": "772-338-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349509125",
            "telephone_number": "772-252-4014",
            "fax_number": "772-999-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 37th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606541",
            "country_code": "US",
            "telephone_number": "772-492-3427",
            "fax_number": "772-999-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 SW Martin Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349902802",
            "country_code": "US",
            "telephone_number": "772-337-8500 x102",
            "fax_number": "772-337-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYUSO",
        "first_name": "AURELIO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW13870",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW13870",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW13870",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW13870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103672400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.