Individual provider Active NPI

Marcia Pena McNeely-Jimenez, PSY.D. & LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1649496977
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5875 Issued in FL
Practice address
9380 SW 72ND St
Suite B-120
Miami, FL 33173-3276
Phone
(305) 274-3738
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5875 FL Primary
Clinical Psychologist 103TC0700X PY6495 FL

Addresses

Primary practice location

9380 SW 72ND St
Suite B-120
Miami, FL 33173-3276

Mailing address

8865 SW 27TH St
Miami, FL 33165-3203
Phone (305) 226-5067

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
MH5875FLMDMental Health Counselor
PY6495FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649496977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 SW 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653203",
            "telephone_number": "305-226-5067",
            "fax_number": "305-226-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SW 72ND ST",
            "address_2": "SUITE B-120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733276",
            "telephone_number": "305-274-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY-JIMENEZ",
        "first_name": "MARCIA",
        "middle_name": "PENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D. & LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5875",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.