Cary P. Ballesteros, ED.S LMHC RPT-S
Individual provider Active NPI Mental Health Counselor · Pinecrest, FL
NPI 1467994657 · NPPES record last updated Nov 6, 2016
Key facts
- NPI
- 1467994657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH 5858 (FL)
- Practice address
- 12651 S Dixie Hwy Ste 307
Pinecrest, FL 33156-5961 - Phone
- (305) 233-4233
- NPI assigned
- Nov 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 5858 | FL | MD | Mental Health Counselor |
| SS 517 | FL | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 5858 | FL | Yes |
| School Psychologist | 103TS0200X | SS 517 | FL |
Addresses
Primary practice location
12651 S Dixie Hwy Ste 307
Pinecrest, FL 33156-5961
Mailing address
12651 S Dixie Hwy Ste 307
Pinecrest, FL 33156-5961
Phone (305) 233-4233
Other providers in Pinecrest, FL
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- Brianna Bahadue
- Karen Baker Mesa
- Baptist Health Medical Group Orthopedics, LLC
- Baptist Health Medical Group Physicians, LLC
- Baptist Health Medical Group Physicians, LLC
- Baptist Hospital of Miami Inc.
- Yamille Barge
All providers in Pinecrest, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.