MEDICARE: IKIGAI MENTAL HEALTH CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1164308516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IKIGAI MENTAL HEALTH CORP

Provider Business Mailing Address
First Line	:	4032 SW 154TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4032 SW 154TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5442
Country	:	US
Telephone Number	:	305-764-9664
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHANDRA GUEVARA
Credential	:	LMHC
Telephone Number	:	305-764-9664

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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Directions to “IKIGAI MENTAL HEALTH CORP ” Practice Location

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