Individual provider Active NPI

Cesar Blumtritt, LMHC

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1659519791
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8888 Issued in FL
Practice address
10200 NW 25TH St Ste 204
Doral, FL 33172-5922
Phone
(954) 401-8572
Fax
(954) 454-8881
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 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 MH8888 FL Primary

Addresses

Primary practice location

10200 NW 25TH St Ste 204
Doral, FL 33172-5922

Mailing address

600 Three Islands Blvd
#606
Hallandale Beach, FL 33009-2888
Phone (954) 401-8572

Other identifiers 1

IdentifierTypeStateIssuer
693385896MedicaidFL

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
MH8888FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundart Inc. Mental Health CurrentSince Sep 15, 2019 Accepting new patients
Art Foundation for People With Disabilities, Inc. Mental Health Current Accepting new patients
Denali CRT, LLC Mental Health PastSince Jul 23, 2023 Accepting new patients

Locations

10200 NW 25th St
Ste 204
Doral, FL 33172
Phone (305) 406-3689

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1659519791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 THREE ISLANDS BLVD",
            "address_2": "#606",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092888",
            "telephone_number": "954-401-8572",
            "fax_number": "954-454-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST STE 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725922",
            "telephone_number": "954-401-8572",
            "fax_number": "954-454-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMTRITT",
        "first_name": "CESAR",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693385896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.