Individual provider Active NPI

Gretchen M Suarez, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1881232957
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13690 Issued in FL
Practice address
2000 S Dixie Hwy Ste 104
Miami, FL 33133-2441
Phone
(305) 799-1967
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 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 13690 FL Primary

Addresses

Primary practice location

2000 S Dixie Hwy Ste 104
Miami, FL 33133-2441

Mailing address

3660 Justison Rd
Miami, FL 33133-6152
Phone (305) 799-1967

Other identifiers 1

IdentifierTypeStateIssuer
13690OtherFLLMHC

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL miami
CONNECT URL miami

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
13690FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1881232957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 JUSTISON RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336152",
            "telephone_number": "305-799-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332441",
            "telephone_number": "305-799-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "GRETCHEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "13690",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "miami",
            "affiliation": "N",
            "address_1": "2000 S Dixie Hwy Ste 104",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331332441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "miami",
            "affiliation": "N",
            "address_1": "2000 S Dixie Hwy Ste 104",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331332441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 19, 2019; 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.