Individual provider Active NPI

Paul Tellechea, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1740656685
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13329 Issued in FL
Practice address
7811 Coral Way
Suite 106
Miami, FL 33155-6540
Phone
(305) 412-0138
Fax
(305) 412-0140
NPI assigned
Aug 14, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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 MH13329 FL Primary

Addresses

Primary practice location

7811 Coral Way
Suite 106
Miami, FL 33155-6540

Mailing address

3617 Ponce de Leon Blvd
Apt 2
Coral Gables, FL 33134-7317
Phone (305) 412-0138

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
I20250813000987 FL Order and Referring Only - Mental Health Counselor 3476051996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1740656685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 PONCE DE LEON BLVD",
            "address_2": "APT 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347317",
            "telephone_number": "305-412-0138",
            "fax_number": "305-412-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 CORAL WAY",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-412-0138",
            "fax_number": "305-412-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLECHEA",
        "first_name": "PAUL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.