Individual provider Active NPI

Yohan Ulises Penaranda, LMHC

  • Mental Health Counselor
  • Cutler Bay, FL
National Provider Identifier
1750528063
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24912 Issued in FL
Practice address
11055 SW 186TH St Ste 306
Cutler Bay, FL 33157-6843
Phone
(786) 226-7738
Fax
(786) 688-2483
NPI assigned
Jan 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X
Mental Health Counselor 101YM0800X MH24912 FL Primary

Addresses

Primary practice location

11055 SW 186TH St Ste 306
Cutler Bay, FL 33157-6843

Mailing address

5939 SW 4TH St
Miami, FL 33144-3324
Phone (786) 226-7738

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
I20250120000034 FL Practitioner - Mental Health Counselor 5092169987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightsy Health, Inc. Current Accepting new patients
Brightsy Health, Inc. CurrentSince Oct 18, 2020 Accepting new patients
Kids for Abatherapy Inc Current Accepting new patients

Locations

11055 SW 186th St
Ste 306
Cutler Bay, FL 33157
Phone (786) 224-6884

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1750528063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 SW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443324",
            "telephone_number": "786-226-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 SW 186TH ST STE 306",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576843",
            "telephone_number": "786-226-7738",
            "fax_number": "786-688-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENARANDA",
        "first_name": "YOHAN",
        "middle_name": "ULISES",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.