Individual provider Active NPI

John Alexander Piedrahita, L.M.H.C.

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1861730400
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11418 Issued in FL
Practice address
1870 NW 106TH Ter
Plantation, FL 33322-3536
Phone
(786) 343-4474
NPI assigned
Jan 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 MH11418 FL Primary
Marriage & Family Therapist 106H00000X MT4140 FL

Addresses

Primary practice location

1870 NW 106TH Ter
Plantation, FL 33322-3536

Mailing address

1870 NW 106TH Ter
Plantation, FL 33322-3536
Phone (786) 343-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT4140FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Love & Healing Clinical Counseling & Care Mental Health CurrentSince Feb 11, 2024 Accepting new patients
Family Protective Services, Corp. Professional Past 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": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1861730400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 NW 106TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333223536",
            "telephone_number": "786-343-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 NW 106TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333223536",
            "telephone_number": "786-343-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEDRAHITA",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11418",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.