Individual provider Active NPI

Jorge A Benitez-Gomez, LMHC

  • Mental Health Counselor
  • Hialeah, FL
National Provider Identifier
1669106480
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20064 Issued in FL
Practice address
17505 NW 67TH PL Apt E
Hialeah, FL 33015-5845
Phone
(786) 252-7225
NPI assigned
Jul 16, 2022
Last updated
Jul 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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 MH20064 FL Primary

Addresses

Primary practice location

17505 NW 67TH PL Apt E
Hialeah, FL 33015-5845

Mailing address

17505 NW 67TH PL Apt E
Hialeah, FL 33015-5845
Phone (786) 252-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227003992 FL Practitioner - Mental Health Counselor 3971023300 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20064FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 11, 2025 Accepting new patients
Behavioral Aid Solutions, Inc CurrentSince Feb 25, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 11, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 11, 2025 Accepting new patients

Locations

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

1414 NW 107th Ave
Ste 109
Sweetwater, FL 33172
Phone (786) 762-2952

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1669106480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 NW 67TH PL APT E",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155845",
            "telephone_number": "786-252-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 NW 67TH PL APT E",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155845",
            "telephone_number": "786-252-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ-GOMEZ",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.