Keiliss Echemendia Hernandez, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW15048 Issued in FL

Practice address

9862 SW 196TH St
Cutler Bay, FL 33157-8664

Phone

(786) 252-8982

NPI assigned

Apr 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Social Attend CorpGroup PAC ID 5092177766, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wellness Social Attend Corp

  • Clinic/Center
  • Homestead, FL
  • NPI 1649865999
  Medicare reassignment Care Compare group
• Torna Medical Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1285233940
  Medicare reassignment NPD
• Dreams Mental Health Inc

  • Psychiatry Physician
  • Miami Lakes, FL
  • NPI 1700474277
  NPD (past)

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1902303134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9862 SW 196TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578664",
            "telephone_number": "786-252-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9862 SW 196TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578664",
            "telephone_number": "786-252-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEMENDIA HERNANDEZ",
        "first_name": "KEILISS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15048",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW15048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianelys Duran
• Larissa Elizabeth Duran, MS, RMHC-I
• Yessenia Duran, BCBA
• East Ridge Retirement Village, Inc.
• Candice Ebanks, APRN
• Nasihely Echemendia Lozano
• Anabel Echemendia Perez
• Carielen Echevarria, PHLEBOTOMY, MA
• Lesley Eckhardt, LCSW
• Omoyeme A Edaki, MD

• Mental Health Counselor in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.