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EDGAR ALFONSO PENA L.M.H.C, CAP
NPI 1700070802
Counselor - Mental Health in Miami Beach, FL

Active since August 31, 2007PECOS EnrolledAccepts Medicare Assignment
1354 WASHINGTON AVE STE 221, MIAMI BEACH, FL 33139(786) 223-3334(305) 766-8064 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edgar Alfonso Pena L.m.h.c, Cap NPPES

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

EDGAR ALFONSO PENA L.M.H.C, CAP (NPI 1700070802) is an individual mental health provider in Miami Beach, Florida, licensed in Florida (MH 10529) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700070802
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDGAR ALFONSO PENACredential: L.M.H.C, CAP
Location Address1354 WASHINGTON AVE STE 221Miami Beach, FL 33139-4203
Mailing Address1470 Ne 123 St #1212Miami, FL 33161 · (786) 223-3334 · Fax (305) 766-8064
Phone(786) 223-3334
Fax(305) 766-8064
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 31, 2007
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1700070802 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 · MH 10529
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CAP 5058 (FL)
1354 WASHINGTON AVE STE 221, Miami Beach, FL 33139
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edgar Alfonso Pena L.m.h.c, Cap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668819251
PECOS Enrollment IDI20240319000498
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edgar Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peak Health LLC
9.8 mi
Mental Health (Including Community Mental Health Center)
215 WESTWARD DR
Miami Springs, FL 33166
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1871297184 (305) 887-4494
Waves In Silence Psychological Services, Inc.
14 mi
Community/Behavioral Health
6600 COW PEN RD STE 250
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1548591928 (305) 764-0194

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

Other Providers at the Same Location NPPES

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

MIAMI BEACH BEHAVIORAL HEALTH LLC
Psychologist (Group Psychotherapy)
1354 WASHINGTON AVE STE 221
MIAMI BEACH, FL 33139
Miami-Dade County (305) 766-8064

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 Edgar Pena's NPI number?

The NPI number for Edgar Pena is 1700070802. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Where is Edgar Pena located?

Edgar Pena practices at 1354 Washington Ave Ste 221, Miami Beach, FL 33139. The listed phone number is (786) 223-3334.

What is Edgar Pena's specialty?

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

Is Edgar Pena enrolled in Medicare?

Yes. Edgar Pena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Edgar Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Pena reassigns Medicare benefits to 2 organizations: Peak Health LLC (Miami Springs, FL) and Waves In Silence Psychological Services, Inc. (Miami Lakes, FL). Each 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 Edgar Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Pena accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 6 other insurers list Edgar Pena 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 Edgar Pena was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.