Individual provider Active NPI

Soraya Fernandez, L. M. H. C.

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1437454394
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH-8515 Issued in FL
Practice address
15490 NW 7TH Ave # 202B
Miami, FL 33169-6250
Phone
(305) 685-4231
Fax
(305) 685-4208
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH-8515 FL Primary

Addresses

Primary practice location

15490 NW 7TH Ave # 202B
Miami, FL 33169-6250

Mailing address

2426 W 74TH St
Hialeah, FL 33016-6512
Phone (786) 281-1070

Other practice location 1

6600 Taft St Ste 305-306
Hollywood, FL 33024-4040
Phone (786) 281-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211001644 FL Practitioner - Mental Health Counselor 1153728753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH-8515FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SF Mental Health Group Inc Current Accepting new patients
Hopeful Rebirth Behavioral Agency LLC Current Accepting new patients
Healthy Connections, LLC Current Accepting new patients
Brightening Minds CMHC LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

6600 Taft St
#305306
Hollywood, FL 33024
Phone (786) 281-1070

6600 Taft St
Ste 305
Hollywood, FL 33024

6600 Taft St
Ste 305306
Hollywood, FL 33024
Phone (305) 297-1267

Organizations & group practices 4

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1437454394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W 74TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166512",
            "telephone_number": "786-281-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15490 NW 7TH AVE # 202B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696250",
            "telephone_number": "305-685-4231",
            "fax_number": "305-685-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Taft St Ste 305-306",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330244040",
            "country_code": "US",
            "telephone_number": "786-281-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SORAYA",
        "name_prefix": "Mrs.",
        "credential": "L. M. H. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-8515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.