Edgar Alfonso Pena, L.M.H.C, CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 10529 Issued in FL

Practice address

1354 Washington Ave Ste 221
Miami Beach, FL 33139-4203

Phone

(786) 223-3334

Fax

(305) 766-8064

NPI assigned

Aug 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waves in Silence Psychological Services, Inc.Group PAC ID 4284778978, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waves in Silence Psychological Services, Inc.

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
  • NPI 1548591928

  Mental Health

  Medicare reassignment Care Compare group NPD
• Peak Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Springs, FL
  • NPI 1871297184
  Medicare reassignment NPD
• Waves in Silence Psychological Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1366101628
  NPD
• Miami Beach Behavioral Health LLC

  • Group Psychotherapy Psychologist
  • Miami Beach, FL
  • NPI 1689299703

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1700070802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 NE 123 ST #1212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "786-223-3334",
            "fax_number": "305-766-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 WASHINGTON AVE STE 221",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394203",
            "telephone_number": "786-223-3334",
            "fax_number": "305-766-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "EDGAR",
        "middle_name": "ALFONSO",
        "credential": "L.M.H.C, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 5058",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelika Koebernik Pedroso, D.D.S.
• Liset Pelaez, MD
• Shelsea Pelaez, APRN
• Rene Pelleya Kouri, MD
• Tahiche Isumi Pena Castro, RBT
• Anirudh Penumaka, M.D.
• Nilda Cristina Peoles
• Yuleisis Perdomo Romero
• Adriana Pereira, M.D.
• Jorge Francisco Pereira, M.D.

• Mental Health Counselor in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.