Latino Kids and Family Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LATINO KIDS AND FAMILY MENTAL HEALTH LLC

Practice address

11327 Village Brook Drive
Riverview, FL 33579

Phone

(813) 278-7644

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Fermina L Roman, LMHCNPI 1922339787

Title

Owner

Phone

(787) 452-7173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fermina Liza Roman, LMHC

  • Psychologist
  • Riverview, FL
  • NPI 1922339787

  Mental Health

  Medicare reassignment NPD Authorized official
• Eileen Lopez-Figueroa

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1164130621
  NPD (past)

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1972104420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11327 VILLAGE BROOK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797191",
            "telephone_number": "787-452-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11327 VILLAGE BROOK DRIVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33579",
            "telephone_number": "813-278-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO KIDS AND FAMILY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "FERMINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-452-7173",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Larue, M.S., CCC-SLP
• Madison Lash, PTA
• Shaun Thomas Lasky, PHARM D
• Michelle Nicole Lastra, PA-C
• Marie Latacz
• Samantha Lavender
• Cady Lawrence, MD
• Christina Layton
• Evan Layton, D.O.
• William Harold Layton, CRNA

• Mental Health Counselor in Riverview, FL
• Providers in Riverview, 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 Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.