Active NPI
Mountain of Love Therapy LLC
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1396339057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MOUNTAIN OF LOVE THERAPY LLC
- Practice address
- 330 SW 27TH Ave Ste 609
Miami, FL 33135-2968 - Phone
- (786) 378-0741
- NPI assigned
- Feb 23, 2021
- 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
- Lourdes Pedraza
- Title
- Owner
- Phone
- (786) 262-1501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
330 SW 27TH Ave Ste 609
Miami, FL 33135-2968
Mailing address
330 SW 27TH Ave Ste 609
Miami, FL 33135-2968
Phone (786) 743-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111283800 | Medicaid | FL | |
| 109651700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17994 SW 97th Ave
Palmetto Bay, FL 33157
Phone (786) 743-0801
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1396339057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SW 27TH AVE STE 609",
"city": "MIAMI",
"state": "FL",
"postal_code": "331352968",
"telephone_number": "786-743-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SW 27TH AVE STE 609",
"city": "MIAMI",
"state": "FL",
"postal_code": "331352968",
"telephone_number": "786-378-0741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN OF LOVE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-23",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A",
"authorized_official_last_name": "PEDRAZA",
"authorized_official_first_name": "LOURDES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-262-1501"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111283800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109651700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.