Individual provider Active NPI

Johandra Guevara

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1699169532
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22169 Issued in FL
Practice address
4032 SW 154TH CT
Miami, FL 33185-5442
Phone
(305) 764-9664
NPI assigned
Mar 27, 2015
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 MH22169 FL Primary

Addresses

Primary practice location

4032 SW 154TH CT
Miami, FL 33185-5442

Mailing address

4032 SW 154TH CT
Miami, FL 33185-5442
Phone (305) 764-9664

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
MH22169FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
G&G Zone Corporation CurrentSince May 1, 2020 Accepting new patients
Ikigai Mental Health Corp Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

8785 SW 165th Ave
Ste 206
Miami, FL 33193
Phone (786) 484-7701

8785 SW 165th Ave
Ste 204A
Miami, FL 33193
Phone (786) 484-7701

8785 SW 165th Ave
Ste 202A
Miami, FL 33193
Phone (786) 484-7701

11820 Miramar Pkwy
Ste 210
Miramar, FL 33025

Organizations & group practices 2

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1699169532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 SW 154TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855442",
            "telephone_number": "305-764-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 SW 154TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855442",
            "telephone_number": "305-764-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "JOHANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22169",
            "primary": true
        }
    ],
    "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 Oct 10, 2024; 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.