Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samir Gustavo Jerez, LMHC, QS

Individual provider Mental Health Counselor · NPI 1912916289

Samir Gustavo Jerez, LMHC, QS is a Mental Health Counselor in Miami, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

11855 SW 216th St
Miami, FL 33170-2945
Phone: (786) 601-2608
Fax: (305) 647-0250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH5950 (FL)
Behavior Analyst Taxonomy 103K00000X · Licence MH5950 (FL)

Record details

NPI number1912916289
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , QS
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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