Individual provider Active NPI

Raquel Lumia, M.A., M.S., LMHC

  • Mental Health Counselor
  • Belle Glade, FL
National Provider Identifier
1467720011
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15291 Issued in FL
Practice address
816 W Canal St S
Belle Glade, FL 33430-2942
Phone
(561) 308-3204
Fax
(888) 228-2908
NPI assigned
Dec 11, 2011
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH15291 FL
Professional Counselor 101YP2500X MH15291 FL
Behavior Analyst 103K00000X MH15291 FL
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X MH15291 FL Primary

Addresses

Primary practice location

816 W Canal St S
Belle Glade, FL 33430-2942

Mailing address

4060 Royal Palm Beach Blvd
West Palm Beach, FL 33411-9165
Phone (561) 502-1500

Other practice location 1

4060 Royal Palm Beach Blvd
West Palm Beach, FL 33411-9165
Phone (561) 502-1500

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
I20240301000631 FL Practitioner - Mental Health Counselor 3971948845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
MH15291FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Healthcare Solutions Inc Mental Health CurrentSince Feb 22, 2024 Accepting new patients
Mental Health Center of Florida PA Mental Health CurrentSince Jun 19, 2024 Accepting new patients
Phoenix Rising Psychotherapy Center PLLC CurrentSince Dec 1, 2019 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients
Serenity Family Services Inc., Past Accepting new patients

Locations

1140 NE 18th St
Belle Glade, FL 33430

816 W Canal St S
Belle Glade, FL 33430
Phone (561) 215-5009

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

Organizations & group practices 5

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": "1323561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1467720011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 ROYAL PALM BEACH BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334119165",
            "telephone_number": "561-502-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W CANAL ST S",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334302942",
            "telephone_number": "561-308-3204",
            "fax_number": "888-228-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4060 Royal Palm Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334119165",
            "country_code": "US",
            "telephone_number": "561-502-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMIA",
        "first_name": "RAQUEL",
        "credential": "M.A., M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH15291",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH15291",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH15291",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.