Organization Active NPI

Mountain of Love Therapy LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1396339057
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 30, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
111283800MedicaidFL
109651700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105002380 FL Part B Supplier - Clinic/Group Practice 7214328004 Receives reassigned benefits from 1 practitioner
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.