LA LUZ MENTAL HEALTH SERVICES INC
NPI 1538746524
Clinic/Center - Mental Health (Including Community Mental Health Center) in Miami, FL

Active since March 25, 2021CLIA 10D2325419 · Waiver
12700 SW 128TH ST STE 108, MIAMI, FL 33186(786) 732-0865(786) 732-0972 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2023, Aug 8, 2022, Mar 25, 2021 (3 updates tracked since 2021).

About La Luz Mental Health Services Inc NPPES

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

LA LUZ MENTAL HEALTH SERVICES INC (NPI 1538746524) is a healthcare organization registered as a mental health (including community mental health center) in Miami, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 11, 2027, maintains a secondary practice location in Miami, and lists Jacqueline Galan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538746524
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLA LUZ MENTAL HEALTH SERVICES INC
Location Address12700 SW 128TH ST STE 108Miami, FL 33186-5378
Mailing Address3402 Sw 89th AveMiami, FL 33165-4238 · (305) 582-4807
Fax(786) 732-0972
Organization SubpartNo
Authorized OfficialJacqueline GalanCeo · (305) 582-4807
Enumeration DateMarch 25, 2021
Last NPPES UpdateNovember 17, 20233 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1538746524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
12700 SW 128TH ST STE 108, Miami, FL 33186

Secondary Practice Location 1

Location 112750 SW 128th St Ste 212Miami, FL 33186-5381 · Phone (305) 582-4807

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Luz Mental Health Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to La Luz Mental Health Services Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1902482532
9380 SW 72ND ST STE B240
Miami, FL 33173
(305) 639-8095
✔ PECOS5.0 mi
Family Practice
NPI 1457308157
9260 SUNSET DR STE 207
Miami, FL 33173
(305) 297-0170
✔ PECOS5.0 mi
Mental Health Counselor
NPI 1972918795
15452 SW 50TH TER
Miami, FL 33185
(786) 307-2066
✔ PECOS5.5 mi
Nurse Practitioner
NPI 1609486943
13885 SW 260TH ST
Homestead, FL 33032
(786) 675-0722
✔ PECOS✔ Accepts Medicare8.5 mi
Psychiatry
NPI 1205330024
1000 BRICKELL AVE STE 715-1871
Miami, FL 33131
(443) 280-4852
✔ PECOS✔ Accepts Medicare15 mi
Physical Medicine and Rehabilitation
NPI 1740570118
160 NW 170TH ST
North Miami Beach, FL 33169
(305) 619-4248
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2325419

La Luz Mental Health Services Inc · Miami, FL
Active · expires Jun 11, 2027
CLIA Number10D2325419
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorJorge T. Caso
Laboratory Phone(786) 732-0865
Laboratory LocationLa Luz Mental Health Services Inc12700 SW 128 St Suite 108, Miami, FL 33186
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 La Luz Mental Health Services Inc's NPI number?

The NPI number for La Luz Mental Health Services Inc is 1538746524. It was assigned to this organization in the NPPES registry on March 25, 2021.

Where is La Luz Mental Health Services Inc located?

La Luz Mental Health Services Inc is located at 12700 SW 128th St Ste 108, Miami, FL 33186. The listed phone number is (786) 732-0865.

What is La Luz Mental Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is La Luz Mental Health Services Inc enrolled in Medicare?

Yes. La Luz Mental Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Luz Mental Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to La Luz Mental Health Services Inc, in Family Practice, Mental Health Counselor, Nurse Practitioner, Physical Medicine and Rehabilitation and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Luz Mental Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2325419) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does La Luz Mental Health Services Inc accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list La Luz Mental Health Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Luz Mental Health Services Inc was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.