Active NPI
Blanca Isabel Estrada, MS, NCC, LPC
- Mental Health Counselor
- Coral Gables, FL
National Provider Identifier
1396948592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH 2861
- Practice address
- 1320 S Dixie Hwy
Suite 1140
Coral Gables, FL 33146-2926 - Phone
- (305) 668-9000
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 2861 | FL | Primary |
| Professional Counselor | 101YP2500X | PC003364 | PA |
Addresses
Primary practice location
1320 S Dixie Hwy
Suite 1140
Coral Gables, FL 33146-2926
Mailing address
1861 Hidden Trail LN
Weston, FL 33327-1456
Phone (954) 323-8585
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 2861 | FL | MD | Mental Health Counselor |
| PC003364 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1396948592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 HIDDEN TRAIL LN",
"city": "WESTON",
"state": "FL",
"postal_code": "333271456",
"telephone_number": "954-323-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S DIXIE HWY",
"address_2": "SUITE 1140",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462926",
"telephone_number": "305-668-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "BLANCA",
"middle_name": "ISABEL",
"credential": "MS, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 2861",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.