Active NPI
Juan Carlos Vicente, RMHCI
- Mental Health Counselor
- Weston, FL
National Provider Identifier
1356919005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2233 N Commerce Pkwy Ste 3
Weston, FL 33326-3252 - Phone
- (954) 217-1757
- Fax
- (954) 385-3807
- NPI assigned
- Jun 17, 2021
- Last updated
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | FL | Primary |
Addresses
Primary practice location
2233 N Commerce Pkwy Ste 3
Weston, FL 33326-3252
Mailing address
305 S Ketch Dr
Sunrise, FL 33326-2240
Phone (757) 230-6436
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mjen LLC | Current | Accepting new patients |
Locations
2233 N Commerce Pkwy
Ste 3
Weston, FL 33326
Phone (954) 217-1757
Organizations & group practices 1
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": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1356919005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S KETCH DR",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333262240",
"telephone_number": "757-230-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 N COMMERCE PKWY STE 3",
"city": "WESTON",
"state": "FL",
"postal_code": "333263252",
"telephone_number": "954-217-1757",
"fax_number": "954-385-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "RMHCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.