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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LESLIE CHANEL CANTILLO
NPI 1952807927
Counselor - Mental Health in Miami, FL

Active since March 30, 2018Opted out of Medicare · through Apr 1, 2028
782 NW 42ND AVE STE 434, MIAMI, FL 33126(786) 470-0746 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leslie Chanel Cantillo NPPES

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

LESLIE CHANEL CANTILLO (NPI 1952807927) is an individual mental health provider in Miami, Florida, licensed in Florida (MH22837) and active in the NPI registry since March 2018. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1952807927
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLESLIE CHANEL CANTILLO
Location Address782 NW 42ND AVE STE 434Miami, FL 33126-5549
Mailing Address18462 Sw 88th PlCutler Bay, FL 33157-7161 · (786) 470-0746
Phone(786) 470-0746
Sole ProprietorYes
Enumeration DateMarch 30, 2018
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1952807927 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 · MH22837
782 NW 42ND AVE STE 434, Miami, FL 33126
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leslie Chanel Cantillo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Leslie Cantillo's NPI number?

The NPI number for Leslie Cantillo is 1952807927. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Leslie Cantillo located?

Leslie Cantillo practices at 782 NW 42nd Ave Ste 434, Miami, FL 33126. The listed phone number is (786) 470-0746.

What is Leslie Cantillo's specialty?

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

Is Leslie Cantillo enrolled in Medicare?

No. Leslie Cantillo has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leslie Cantillo was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.