Active NPI
La Luz Mental Health Services Inc
- General Practice Physician
- Miami, FL
National Provider Identifier
1700687100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LA LUZ MENTAL HEALTH SERVICES INC
- Practice address
- 12700 SW 128TH St Ste 108
Miami, FL 33186-5378 - Phone
- (786) 732-0865
- NPI assigned
- Mar 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Galan
- Title
- Owner
- Phone
- (786) 732-0865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
12700 SW 128TH St Ste 108
Miami, FL 33186-5378
Mailing address
12700 SW 128TH St Ste 108
Miami, FL 33186-5378
Phone (786) 732-0865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220526001043 | FL | Part B Supplier - Clinic/Group Practice | 4183002546 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1538746524
O20220526001043
National Provider Directory
National Provider Directory- Tax ID family
- La Luz Mental Health Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1538746524
-
- Case Management Agency
- Miami, FL
- NPI 1962130054
Locations
12700 SW 128th St
Ste 108
Miami, FL 33186
Phone (786) 332-7745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1700687100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SW 128TH ST STE 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865378",
"telephone_number": "786-732-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SW 128TH ST STE 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865378",
"telephone_number": "786-732-0865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA LUZ MENTAL HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "GALAN",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-732-0865"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"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 Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.