Individual provider Active NPI

Luciana Wimbish, MS, LMHC

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1982844403
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16169 Issued in FL
Practice address
9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422
Phone
(754) 704-6867
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 MH16169 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422

Mailing address

9050 Pines Blvd Ste 305
Pembroke Pines, FL 33024-6422
Phone (754) 704-6867

Other practice location 1

3830 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3616

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH16169FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
VM Counseling Services Inc. CurrentSince Aug 4, 2024 Accepting new patients
Synergy Wellness of Florida Inc. Mental Health CurrentSince Aug 4, 2024 Accepting new patients

Locations

9050 Pines Blvd
Ste 305
Pembroke Pines, FL 33024
Phone (754) 283-9665

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1982844403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-704-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246422",
            "telephone_number": "754-704-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3616",
            "fax_number": "305-476-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "LUCIANA",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16169",
            "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 30, 2024; 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.