Individual provider Active NPI

Olga A Betancur, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
National Provider Identifier
1780896597
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4730 Issued in FL
Practice address
4800 W Flagler St Ste 215
Coral Gables, FL 33134-1402
Phone
(786) 553-2521
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 MH4730 FL Primary

Addresses

Primary practice location

4800 W Flagler St Ste 215
Coral Gables, FL 33134-1402

Mailing address

7815 NW 104TH Ave Apt 33
Doral, FL 33178-4452
Phone (786) 553-2521

Other identifiers 1

IdentifierTypeStateIssuer
761604000MedicaidFL

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
I20250204001119 FL Practitioner - Mental Health Counselor 7719417963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH4730FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Community Care and Behavioral Services, LLC CurrentSince Dec 1, 2024 Accepting new patients
Steps Therapy Center Corp Past Accepting new patients

Locations

14850 SW 26th St
Ste 207
Miami, FL 33185
Phone (305) 485-0752

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1780896597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 NW 104TH AVE APT 33",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784452",
            "telephone_number": "786-553-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W FLAGLER ST STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341402",
            "telephone_number": "786-553-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCUR",
        "first_name": "OLGA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761604000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.