Individual provider Active NPI

Ivette Castellanos

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1467998120
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH27072 Issued in FL
Practice address
15611 SW 143Rd Ave
Miami, FL 33177-0900
Phone
(786) 803-5511
NPI assigned
Jan 18, 2017
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 MH27072 FL Primary

Addresses

Primary practice location

15611 SW 143Rd Ave
Miami, FL 33177-0900

Mailing address

15611 SW 143Rd Ave
Miami, FL 33177-0900
Phone (786) 803-5511

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
I20260114001594 FL Practitioner - Mental Health Counselor 1052897568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15611 SW 143Rd Ave
Miami, FL 33177-0900

8175 NW 12TH St
Suite 119
Doral, FL 33126-1828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27072FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laura J Parodi LLC CurrentSince Jan 8, 2026 Accepting new patients

Locations

8175 NW 12th St
Ste 119
Doral, FL 33126
Phone (786) 362-5981

Organizations & group practices 1

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1467998120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770900",
            "telephone_number": "786-803-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770900",
            "telephone_number": "786-803-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.