Individual provider Active NPI

Michelle Nicole Peralta, RMHCI

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1922877901
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26145 Issued in FL
Practice address
12333 NW 18TH St Ste 5
Pembroke Pines, FL 33026-4386
Phone
(954) 780-6093
Fax
(954) 206-5764
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 MH26145 FL Primary

Addresses

Primary practice location

12333 NW 18TH St Ste 5
Pembroke Pines, FL 33026-4386

Mailing address

4392 Hammock Grove Dr
Lake Worth, FL 33467-8606
Phone (201) 233-0610

Other practice location 1

4392 Hammock Grove Dr
Lake Worth, FL 33467
Phone (201) 233-0610

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
MH26145FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Therapy Collective CurrentSince Jan 4, 2026 Accepting new patients
Monterroso Integrative Services, Inc CurrentSince Jan 7, 2024 Accepting new patients

Locations

600 Sandtree Dr
Ste 202C
Palm Beach Gardens, FL 33403
Phone (561) 445-7672

12333 NW 18th St
Ste 5
Pembroke Pines, FL 33026
Phone (954) 780-6093

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1922877901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4392 HAMMOCK GROVE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678606",
            "telephone_number": "201-233-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12333 NW 18TH ST STE 5",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264386",
            "telephone_number": "954-780-6093",
            "fax_number": "954-206-5764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4392 Hammock Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "33467",
            "country_code": "US",
            "telephone_number": "201-233-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.