Individual provider Active NPI

Andrea Maria Gomez Legua, LMHC

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1558095133
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24307 Issued in FL
Practice address
150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665
Phone
(754) 202-2565
Fax
(754) 209-2738
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24307 FL Primary
Mental Health Counselor 101YM0800X IMH22289 FL

Addresses

Primary practice location

150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665

Mailing address

7770 NW 4TH St
Plantation, FL 33324-1902
Phone (754) 202-2565

Other practice location 1

1200 S Federal Hwy Ste 301
Boynton Beach, FL 33435-6059
Phone (754) 202-2565

Other practice location 2

1515 N Federal Hwy Ste 300
Boca Raton, FL 33432-1994
Phone (754) 202-2565

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

State licenses

LicenseStateTypeSpecialty
IMH22289FLMDMental Health Counselor
MH24307FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saving Lives Counseling Center Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Center for Child Counseling, Inc PastSince Jul 1, 2022 Accepting new patients

Locations

1515 N Federal Hwy
Ste 300
Boca Raton, FL 33432
Phone (561) 289-3663

1200 S Federal Hwy
Ste 301
Boynton Beach, FL 33435
Phone 7542022565 ext. 22565

150 S Pine Island Rd
Ste 300
Plantation, FL 33324
Phone (954) 530-2803

Organizations & group practices 2

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1558095133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241902",
            "telephone_number": "754-202-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PINE ISLAND RD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242665",
            "telephone_number": "754-202-2565",
            "fax_number": "754-209-2738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Federal Hwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334356059",
            "country_code": "US",
            "telephone_number": "754-202-2565",
            "fax_number": "754-209-2738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Federal Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321994",
            "country_code": "US",
            "telephone_number": "754-202-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ LEGUA",
        "first_name": "ANDREA",
        "middle_name": "MARIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24307",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH22289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.