Individual provider Active NPI

Amalia Bernarda Becerra, MS

  • Mental Health Counselor
  • Hialeah, FL
National Provider Identifier
1548429889
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2050 W 56TH St Ste 15-16
Hialeah, FL 33016-2601
Phone
(305) 557-1555
Fax
(305) 397-2847
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 FL Primary

Addresses

Primary practice location

2050 W 56TH St Ste 15-16
Hialeah, FL 33016-2601

Mailing address

10211 Fontainebleau Blvd Apt 101
Miami, FL 33172-3214
Phone (215) 888-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestar Mental Wellness Center Inc, CMHC CurrentSince Sep 10, 2020 Accepting new patients
Northeast Community Mental Health Center, Inc. Past Accepting new patients
Northeast Community Mental Health Center, Inc. Past Accepting new patients

Locations

2050 W 56th St
Ste 1516
Hialeah, FL 33016
Phone (305) 557-1555

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1548429889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 FONTAINEBLEAU BLVD APT 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723214",
            "telephone_number": "215-888-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W 56TH ST STE 15-16",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162601",
            "telephone_number": "305-557-1555",
            "fax_number": "305-397-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "AMALIA",
        "middle_name": "BERNARDA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.