Individual provider Active NPI

Aida M Izquierdo, PSYD, LMHC

  • Mental Health Counselor
  • Hialeah, FL
National Provider Identifier
1497852099
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4833 Issued in FL
Practice address
450 W 53Rd St
Hialeah, FL 33012-2520
Phone
(305) 318-5539
Fax
(305) 318-5539
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 4833 FL Primary

Addresses

Primary practice location

450 W 53Rd St
Hialeah, FL 33012-2520

Mailing address

450 W 53Rd St
Hialeah, FL 33012-2520
Phone (305) 318-5539

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
I20260616004642 FL Practitioner - Mental Health Counselor 3072550128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

450 W 53Rd St
Hialeah, FL 33012-2520

654 Northeast 9 Place
Homestead, FL 33030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4833FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Reflection CMHC, Inc. PastSince Dec 14, 2004 Accepting new patients
Inner Reflection Therapy Center P.a. Mental Health Past Accepting new patients

Organizations & group practices 3

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1497852099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W 53RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122520",
            "telephone_number": "305-318-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W 53RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122520",
            "telephone_number": "305-318-5539",
            "fax_number": "305-318-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "AIDA",
        "middle_name": "M",
        "credential": "PSYD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.