Individual provider Active NPI

Edward Alexander Pardo, L.M.H.C

  • Mental Health Counselor
  • Hialeah, FL
National Provider Identifier
1609336114
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15188 Issued in FL
Practice address
6225 Miami Lakes Drive
Hialeah, FL 33014
Phone
(305) 975-2667
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 15188 FL Primary

Addresses

Primary practice location

6225 Miami Lakes Drive
Hialeah, FL 33014

Mailing address

1171 Raven Ave
Miami Springs, FL 33166-3838
Phone (305) 975-2667

Other practice location 1

1171 Raven Ave
Miami Springs, FL 33166-3838
Phone (305) 975-2667

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
15188FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1609336114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 RAVEN AVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331663838",
            "telephone_number": "305-975-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 MIAMI LAKES DRIVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-975-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Raven Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331663838",
            "country_code": "US",
            "telephone_number": "305-975-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDO",
        "first_name": "EDWARD",
        "middle_name": "ALEXANDER",
        "credential": "L.M.H.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15188",
            "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 Mar 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.