Individual provider Active NPI

Heidi Guevara

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1861940918
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17133 Issued in FL
Practice address
20721 SW 116TH Rd
Miami, FL 33189-1039
Phone
(321) 405-2805
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 MH17133 FL Primary

Addresses

Primary practice location

20721 SW 116TH Rd
Miami, FL 33189-1039

Mailing address

PO Box 562904
Miami, FL 33256-2904
Phone (321) 405-2805

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
I20240603001712 FL Practitioner - Mental Health Counselor 4486196748 Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17133FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salt & Light Healing Wellness, LLC Mental Health CurrentSince Nov 10, 2024 Accepting new patients
Collaborative Therapy Group, LLC Mental Health Current Accepting new patients
Harvesting Joy Counseling, LLC Mental Health CurrentSince Nov 3, 2019 Accepting new patients
One Soul CMH, Inc Past Accepting new patients

Locations

250 Catalonia Ave
Ste 702
Coral Gables, FL 33134
Phone (321) 405-2805

Organizations & group practices 4

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1861940918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562904",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332562904",
            "telephone_number": "321-405-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20721 SW 116TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331891039",
            "telephone_number": "321-405-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.