Mario A Astudillo, RCSWI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4101 Parker Ave
West Palm Beach, FL 33405-2507

Phone

(561) 616-1222

Fax

(561) 616-1230

NPI assigned

May 21, 2021

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raul J Rodriguez MdpaGroup PAC ID 0042477564, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Raul J Rodriguez Mdpa

  • Addiction Psychiatry Physician
  • Delray Beach, FL
  • NPI 1891067823
  Medicare reassignment Care Compare group NPD
• Soul Ambition, Inc.

  • Counseling Psychologist
  • Boynton Beach, FL
  • NPI 1669028957
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1568037661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PARKER AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052507",
            "telephone_number": "561-616-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARKER AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052507",
            "telephone_number": "561-616-1222",
            "fax_number": "561-616-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTUDILLO",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assisted Medcare Inc (Garden Villas)
• Assisted Transport of the Palm Beaches
• Jean Albert Assuied, D.O.
• Assurance Detox, LLC
• Assure Home Care, LLC
• Victor Astudillo, CSA
• At Talitha Cumi Home Care, Inc.
• Hanin Edson Atalla Albeirat
• Anthony Atalla, M.D.
• Jana Anne Atchley, CRNA

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.