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SAMIR GUSTAVO JEREZ LMHC, QS
NPI 1912916289
Counselor - Mental Health in Miami, FL

Active since August 05, 2006
11855 SW 216TH ST, MIAMI, FL 33170(786) 601-2608(305) 647-0250 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jan 13, 2023 (2 updates tracked since 2023).

About Samir Gustavo Jerez Lmhc, Qs NPPES

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

SAMIR GUSTAVO JEREZ LMHC, QS (NPI 1912916289) is an individual mental health provider in Miami, Florida, licensed in Florida (MH5950) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912916289
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMIR GUSTAVO JEREZCredential: LMHC, QS
Location Address11855 SW 216TH STMiami, FL 33170-2945
Mailing AddressPo Box 700731Miami, FL 33170-0731 · (305) 431-8534 · Fax (305) 647-0250
Phone(786) 601-2608
Fax(305) 647-0250
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1912916289 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 · MH5950
Also ListedBehavior AnalystTaxonomy 103K00000X · License MH5950 (FL)
11855 SW 216TH ST, Miami, FL 33170
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Other Identifiers 2

Medicaid007140600FL
Medicaid018278700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Providence Health Plan, Wellpoint.Insurance ›

Other Providers at the Same Location NPPES

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

BIO-BEHAVIORAL CORP.
Behavior Analyst
11855 SW 216TH ST
MIAMI, FL 33170
Miami-Dade County (786) 601-2608

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 Samir Jerez's NPI number?

The NPI number for Samir Jerez is 1912916289. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Samir Jerez located?

Samir Jerez practices at 11855 SW 216th St, Miami, FL 33170. The listed phone number is (786) 601-2608.

What is Samir Jerez's specialty?

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

What insurance does Samir Jerez accept?

Health plans from Molina Healthcare, Providence Health Plan and Wellpoint list Samir Jerez 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 Samir Jerez was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.