Individual provider Active NPI

Yelena Inguanzo, LMHC

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1891135984
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8608 Issued in FL
Practice address
7745 NW 146TH St # F1Andf2
Miami Lakes, FL 33016-1559
Phone
(786) 633-5992
Fax
(786) 420-2151
NPI assigned
Jul 3, 2013
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 8608 FL Primary
Social Worker 104100000X FL
Behavior Analyst 103K00000X MH8608 FL
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

7745 NW 146TH St # F1Andf2
Miami Lakes, FL 33016-1559

Mailing address

7745 NW 146TH St # F1
Miami Lakes, FL 33016-1559
Phone (786) 633-5992

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
I20240620002625 FL Practitioner - Mental Health Counselor 8123373826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vida Mental Health Services IncGroup PAC ID 1850702234, 7 clinicians

Practice addresses (Care Compare)

7745 NW 146TH St
F1
Miami Lakes, FL 33016-1559
Phone (305) 613-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 8608FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Mental Health Services Inc CurrentSince May 16, 2024 Accepting new patients
Felicidad Medical Center Inc Past Accepting new patients

Locations

7745 NW 146th St
#F1
Miami Lakes, FL 33016
Phone (786) 420-2151

7745 NW 146th St
Ste F1
Miami Lakes, FL 33016
Phone (786) 420-2151

306 Westward Dr
Miami Springs, FL 33166
Phone (786) 558-7894

7434 S US Highway 1
Port St Lucie, FL 34952
Phone (305) 879-0565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1891135984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 NW 146TH ST # F1",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161559",
            "telephone_number": "786-633-5992",
            "fax_number": "786-420-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 NW 146TH ST # F1ANDF2",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161559",
            "telephone_number": "786-633-5992",
            "fax_number": "786-420-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGUANZO",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8608",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH8608",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.