Individual provider Active NPI

Uberto Leone Mondolfi, , NCC, MCAP, NGCII

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1790112829
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14401 Issued in FL
Practice address
2000 S Dixie Hwy Ste 200
Miami, FL 33133-2455
Phone
(786) 366-2311
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC011559 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH14401 FL Primary

Addresses

Primary practice location

2000 S Dixie Hwy Ste 200
Miami, FL 33133-2455

Mailing address

2000 S Dixie Hwy Ste 200
Miami, FL 33133-2455
Phone (786) 366-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ADC011559FLMDAddiction (Substance Use Disorder) Counselor
MH14401FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uleru Project LLC Multi-Specialty PastSince Nov 3, 2019 Accepting new patients
Uleru Project LLC Mental Health PastSince Jul 24, 2022 Accepting new patients

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1790112829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332455",
            "telephone_number": "786-366-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332455",
            "telephone_number": "786-366-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDOLFI",
        "first_name": "UBERTO",
        "middle_name": "LEONE",
        "name_prefix": "Dr.",
        "credential": ", NCC, MCAP, NGCII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC011559",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14401",
            "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 Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.