Individual provider Active NPI

Dipsy Trejo Leal

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1770007353
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10300 SW 72ND St Ste 161
Miami, FL 33173-3031
Phone
(516) 849-7405
NPI assigned
Jul 26, 2017
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL Primary
Assistant Behavior Analyst 106E00000X BCABA0-19-10108

Addresses

Primary practice location

10300 SW 72ND St Ste 161
Miami, FL 33173-3031

Mailing address

10300 SW 72ND St Ste 161
Miami, FL 33173-3031
Phone (516) 849-7405

Other practice location 1

2206 SW 138th Ave
Miami, FL 33175-6352
Phone (516) 849-7405

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
I20250627003865 FL Practitioner - Mental Health Counselor 3779096292 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Mental Health Center LLC Behavior Analyst CurrentSince Jun 18, 2025 Accepting new patients
Five Stars Behavioral Services, LLC Mental Health Past Accepting new patients

Locations

9260 Sunset Dr
Ste 103
Miami, FL 33173
Phone (305) 279-9864

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1770007353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 161",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733031",
            "telephone_number": "516-849-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 161",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733031",
            "telephone_number": "516-849-7405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2206 SW 138th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331756352",
            "country_code": "US",
            "telephone_number": "516-849-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREJO LEAL",
        "first_name": "DIPSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "BCABA0-19-10108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.