Organization Active NPI

Advanced Recovery & Counseling LLC

  • Community/Behavioral Health Agency
  • Hialeah, FL
National Provider Identifier
1619784295
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Luis Bernardo Botero
Title
Coo
Phone
(786) 916-6073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Recovery Counseling LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14400 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 916-6073

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1619784295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "786-916-6073",
            "fax_number": "786-657-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131962",
            "telephone_number": "786-916-6073",
            "fax_number": "786-657-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RECOVERY & COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BOTERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "BERNARDO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "786-916-6073"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.