Individual provider Active NPI

Lissette Alvarez Gonzalez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1578003182
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA1-23-70484 Issued in FL
Practice address
18522 SW 136TH CT
Miami, FL 33177-6283
Phone
(305) 416-8189
Fax
(561) 336-0254
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21431
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X
Behavior Analyst 103K00000X BCBA1-23-70484 FL Primary

Addresses

Primary practice location

18522 SW 136TH CT
Miami, FL 33177-6283

Mailing address

230 Canal St Apt 202
Miami Springs, FL 33166-4456
Phone (305) 416-8189

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
I20240417002555 FL Practitioner - Mental Health Counselor 2769821206 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Faith and Hope Services Group LLC Behavior Analyst CurrentSince Mar 27, 2024 Accepting new patients
New Life Mental Health Solutions Corp Behavior Analyst CurrentSince Jul 5, 2025 Accepting new patients
Peace of Mind Mental Health Services Corp Behavior Analyst Past Accepting new patients

Locations

10700 Caribbean Blvd
Ste 402
Cutler Bay, FL 33189
Phone (786) 250-3040

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1578003182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CANAL ST APT 202",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664456",
            "telephone_number": "305-416-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 SW 136TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776283",
            "telephone_number": "305-416-8189",
            "fax_number": "561-336-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ GONZALEZ",
        "first_name": "LISSETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "MH21431",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA1-23-70484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.