Carmine Vidana, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12397 Issued in FL

Practice address

8900 SW 168TH St
Palmetto Bay, FL 33157-4569

Phone

(786) 430-1051

NPI assigned

Jun 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Counseling, Inc.Group PAC ID 7315162484, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wellspring Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmetto Bay, FL
  • NPI 1558686543
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1922412238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 SW 133RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835126",
            "telephone_number": "786-423-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 168TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574569",
            "telephone_number": "786-430-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDANA",
        "first_name": "CARMINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shulien Venero
• Ileana Verdecia Michelena
• Yanna Vergara
• Mariliz Vicente Oliva, PTA
• Vida Therapy Inc
• Shirley Viera
• Frances Elvira Vile, L.C.S.W.
• Eidy Villalonga, RBT
• Alexis Rene Viltres
• Vita Magic LLC

• Mental Health Counselor in Palmetto Bay, FL
• Providers in Palmetto 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 Jun 13, 2014; 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.