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GRETZKY K FUENTES
NPI 1568178093
Counselor - Mental Health in Miami, FL

Active since January 27, 2023PECOS Enrolled
12595 SW 137TH AVE STE 110, MIAMI, FL 33186(305) 465-9379(305) 203-4672 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Jan 27, 2023 (2 updates tracked since 2023).

About Gretzky K Fuentes NPPES

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

GRETZKY K FUENTES (NPI 1568178093) is an individual mental health provider in Miami, Florida, licensed in Florida (MH21228) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568178093
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRETZKY K FUENTES
Location Address12595 SW 137TH AVE STE 110Miami, FL 33186-4218
Mailing Address1621 Bay Rd Apt 504Miami Beach, FL 33139-3250 · (786) 355-0682
Phone(305) 465-9379
Fax(305) 203-4672
Sole ProprietorYes
Enumeration DateJanuary 27, 2023
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1568178093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH21228
12595 SW 137TH AVE STE 110, Miami, FL 33186
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretzky K Fuentes 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 4

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

PROGRESSIVE MEDICAL CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
12595 SW 137TH AVE STE 110
MIAMI, FL 33186
Miami-Dade County (305) 465-9379
ELIANA SZWARC
Marriage & Family Therapist
12595 SW 137TH AVE STE 110
MIAMI, FL 33186
Miami-Dade County (305) 465-9379
AZUCENA R GUTIERREZ
Counselor (Mental Health)
12595 SW 137TH AVE STE 110
MIAMI, FL 33186
Miami-Dade County (305) 465-9379
YANNET MANSO HERNANDEZ FNP
Nurse Practitioner (Family)
12595 SW 137TH AVE STE 110
MIAMI, FL 33186
Miami-Dade County (954) 647-9320

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 Gretzky Fuentes's NPI number?

The NPI number for Gretzky Fuentes is 1568178093. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Gretzky Fuentes located?

Gretzky Fuentes practices at 12595 SW 137th Ave Ste 110, Miami, FL 33186. The listed phone number is (305) 465-9379.

What is Gretzky Fuentes's specialty?

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

Is Gretzky Fuentes enrolled in Medicare?

Yes. Gretzky Fuentes is registered in the Medicare PECOS enrollment system.

What insurance does Gretzky Fuentes accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Gretzky Fuentes 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 Gretzky Fuentes was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.