Individual provider Active NPI

Ingrid Vasallo, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1700389863
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18545 Issued in FL
Practice address
10300 SW 72ND St Ste 140
Miami, FL 33173-3038
Phone
(305) 846-9662
NPI assigned
Mar 15, 2018
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 MH18545 FL Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 140
Miami, FL 33173-3038

Mailing address

10300 SW 72ND St Ste 140
Miami, FL 33173-3038
Phone (305) 205-9706

Other practice location 1

10300 SW 72nd St Ste 275B
Miami, FL 33173-3027
Phone (305) 709-5130 ext. 800

Other practice location 2

9487 SW 39th St
Miami, FL 33165-4017
Phone (305) 213-6290

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
MH18545FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Wellness Center Corp Mental Health Current Accepting new patients
Better Mind Therapy Corp Behavior Analyst CurrentSince Feb 12, 2023 Accepting new patients

Locations

10300 Sunset Dr
Ste 140
Miami, FL 33173
Phone (305) 302-4776

10300 Sunset Dr
Ste 275D
Miami, FL 33173
Phone (305) 846-9662

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1700389863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733038",
            "telephone_number": "305-205-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733038",
            "telephone_number": "305-846-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 SW 72nd St Ste 275B",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733027",
            "country_code": "US",
            "telephone_number": "305-709-5130 x800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9487 SW 39th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331654017",
            "country_code": "US",
            "telephone_number": "305-213-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASALLO",
        "first_name": "INGRID",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18545",
            "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 Sep 10, 2026; 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.