Individual provider Active NPI

Jeremy Lozada, RMHCI

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1932683075
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH16564 Issued in FL
Practice address
12855 SW 136TH Ave Ste 107
Miami, FL 33186-5827
Phone
(305) 588-4143
NPI assigned
Sep 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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 IMH16564 FL Primary

Addresses

Primary practice location

12855 SW 136TH Ave Ste 107
Miami, FL 33186-5827

Mailing address

1415 SW 125TH CT
Miami, FL 33184-2340
Phone (786) 234-2039

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
I20240208000099 FL Practitioner - Mental Health Counselor 2567805484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L.I.F.E Center for Healing and Growth Inc.Group PAC ID 5890138812, 6 clinicians

Practice addresses (Care Compare)

12360 SW 132ND CT
Suite 113
Miami, FL 33186-6461
Phone (786) 587-9631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH16564FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
L.I.F.E Center for Healing & Growth Inc. Mental Health CurrentSince Jan 16, 2024 Accepting new patients

Locations

12855 SW 136th Ave
Ste 107
Miami, FL 33186
Phone (305) 213-2573

12360 SW 132nd Ct
Ste 113
Miami, FL 33186
Phone (305) 588-4143

Organizations & group practices 1

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1932683075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 SW 125TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842340",
            "telephone_number": "786-234-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865827",
            "telephone_number": "305-588-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZADA",
        "first_name": "JEREMY",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.