Advanced Recovery & Counseling LLC
Organization Active NPI Community/Behavioral Health Agency · Hialeah, FL
NPI 1619784295 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1619784295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANCED RECOVERY & COUNSELING LLC
- Practice address
- 590 E 49TH St
Hialeah, FL 33013-1962 - Phone
- (786) 916-6073
- Fax
- (786) 657-3092
- NPI assigned
- Dec 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Luis Bernardo Botero
- Title
- Coo
- Phone
- (786) 916-6073
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 4
Practitioners 11
-
Jennifer Carlo, LMHC
-
Jason Lopez, M.D.
-
Patricia Matias Cedano, APRN
-
Juan Diego Oms, M.D.
-
Giliana G. Pena, SW
-
Michelle T Reichard, LMHC
-
Ibis Reyes Soto, PMHNP
-
Alberto Rojas, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200902000577 | FL | Part B Supplier - Clinic/Group Practice | 8921425158 |
Receives reassigned benefits from 11 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hialeah, FL; Miami Lakes, FL; South Miami, FL |
National Provider Directory
- Tax ID family
- Advanced Recovery Counseling LLC
Locations
7241 SW 63rd Ave
Ste 101A
South Miami, FL 33143
Phone (305) 397-8679
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
590 E 49TH St
Hialeah, FL 33013-1962
Mailing address
14400 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1590
Phone (786) 916-6073
Other providers in Hialeah, FL
- Advanced Gastroenterology of South Florida, P.a.
- Advanced Imaging Services Inc
- Advanced Imaging Specialists of Florida Inc
- Advanced Practice Inc
- Advanced Practice Providers Corp.
- Advanced Therapy & Rehab Center, Inc
- Advocare Health Alliance
- Aegis Registry LLC
- Roxangeles Afa
- Affiliated Counseling Center
All providers in Hialeah, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.