Individual provider Active NPI

Eduardo R Fraguela, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1972704286
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8156 Issued in FL
Practice address
8300 W Flagler St Ste 170
Miami, FL 33144-2098
Phone
(786) 633-5171
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH8156 FL
Behavior Analyst 103K00000X MH8156 FL
Mental Health Counselor 101YM0800X MH8156 FL Primary

Addresses

Primary practice location

8300 W Flagler St Ste 170
Miami, FL 33144-2098

Mailing address

725 NW 129TH PL
Miami, FL 33182-2354
Phone (786) 797-0139

Other practice location 1

6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040
Phone (305) 910-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8156FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Olympus Healthcare Services Inc Behavior Analyst CurrentSince Apr 3, 2024 Accepting new patients
DRS and Associates, Inc. Past Accepting new patients

Locations

8300 W Flagler St
Ste 170
Miami, FL 33144
Phone (786) 633-5171

8300 W Flagler St
Ste 258C
Miami, FL 33144
Phone (786) 442-5503

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1972704286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NW 129TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822354",
            "telephone_number": "786-797-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST STE 170",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442098",
            "telephone_number": "786-633-5171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6303 Blue Lagoon Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331266040",
            "country_code": "US",
            "telephone_number": "305-910-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAGUELA",
        "first_name": "EDUARDO",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH8156",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH8156",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.