Individual provider Active NPI

Rebeca Lazcano, LMHC

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1447475504
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MH21700 Issued in FL
Practice address
8323 NW 12TH St Ste 206
Doral, FL 33126-1840
Phone
(305) 923-2795
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21700 FL
Social Worker 104100000X
Behavior Analyst 103K00000X MH21700 FL Primary

Addresses

Primary practice location

8323 NW 12TH St Ste 206
Doral, FL 33126-1840

Mailing address

8323 NW 12TH St Ste 206
Doral, FL 33126-1840
Phone (305) 923-2795

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
I20240206002146 FL Practitioner - Mental Health Counselor 9133350689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21700FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Able ABA LLC Behavior Analyst Current Accepting new patients
Avila Health Group LLC CurrentSince Nov 27, 2023 Accepting new patients

Locations

11402 NW 41st St
Unit 206
Doral, FL 33178
Phone (305) 373-3424

8323 NW 12th St
Ste 206
Doral, FL 33126
Phone (305) 373-3424

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1447475504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261840",
            "telephone_number": "305-923-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261840",
            "telephone_number": "305-923-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZCANO",
        "first_name": "REBECA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21700",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH21700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.