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GUSTAVO ROLDAN ED.S., LMHC
NPI 1124873104
Counselor - Mental Health in Miami, FL

Active since April 22, 2024PECOS Enrolled
13595 SW 134TH AVE STE 201, MIAMI, FL 33186(305) 984-4577 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Apr 22, 2024 (2 updates tracked since 2024).

About Gustavo Roldan Ed.s., Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO ROLDAN ED.S., LMHC (NPI 1124873104) is an individual mental health provider in Miami, Florida, licensed in Florida (MH23314) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124873104
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGUSTAVO ROLDANCredential: ED.S., LMHC
Location Address13595 SW 134TH AVE STE 201Miami, FL 33186-4580
Mailing Address13595 Sw 134th Ave Ste 201Miami, FL 33186-4580 · (305) 984-4577
Phone(305) 984-4577
Sole ProprietorYes
Enumeration DateApril 22, 2024
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1124873104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH23314
Also ListedBehavior AnalystTaxonomy 103K00000X
13595 SW 134TH AVE STE 201, Miami, FL 33186
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustavo Roldan Ed.s., Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOP HEALTH CARE LLC
Counselor (Mental Health)
13595 SW 134TH AVE STE 201
MIAMI, FL 33186
Miami-Dade County (305) 984-4577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Roldan's NPI number?

The NPI number for Gustavo Roldan is 1124873104. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Gustavo Roldan located?

Gustavo Roldan practices at 13595 SW 134th Ave Ste 201, Miami, FL 33186. The listed phone number is (305) 984-4577.

What is Gustavo Roldan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gustavo Roldan enrolled in Medicare?

Yes. Gustavo Roldan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustavo Roldan was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.