Samir Gustavo Jerez

LMHC, QS | Mental Health Counselor


  11855 Sw 216th St, Miami
     Florida, 33170-2945
  786-601-2608    305-647-0250 Maps & Directions
Samir Gustavo Jerez is a Miami, Florida based counselor who is specialized as Mental Health Counselor. Active license number of Samir Gustavo Jerez is MH5950 for Mental Health Counselor in Florida. His current practice location is 11855 Sw 216th St, Miami. Patients can book an appointment with him at 786-601-2608.
Samir Gustavo Jerez is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Samir Gustavo Jerez speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Samir Gustavo Jerez
Specialization: Mental Health Counselor
Gender:Male
Credentials: LMHC, QS
Accepts Medicare Assignment:No
Practice Address:11855 Sw 216th St, Miami,
Florida, 33170-2945
Phone:786-601-2608
Fax:305-647-0250
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1912916289
NPI Enumeration Date: 05 Aug, 2006
NPI Last Update On: 12 Jun, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samir Gustavo Jerez are as mentioned below.
License NumberSpecializationStateStatus
MH5950Mental Health Counselor FloridaPrimary
MH5950Behavioral Analyst FloridaSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Samir Gustavo Jerez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
007140600MedicaidFlorida
018278700MedicaidFlorida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 700731,
Miami, Florida
Zip: 33170-0731
Phone Number: 305-431-8534
Fax Number: 305-647-0250
Patients can reach Samir Gustavo Jerez at 11855 Sw 216th St, Miami, Florida or can call to book an appointment on 786-601-2608.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.

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