Organization Active NPI

North Miami Holistic Wellness Center, Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1013538800
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH MIAMI HOLISTIC WELLNESS CENTER, INC.
Practice address
14880 SW 180TH St
Miami, FL 33187-6275
Phone
(786) 318-8732
NPI assigned
May 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nadine L Gousse, LMHCNPI 1023551660
Title
Psychotherapist
Phone
(786) 318-8732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

14880 SW 180TH St
Miami, FL 33187-6275

Mailing address

14880 SW 180TH St
Miami, FL 33187-6275
Phone (786) 318-8732

National Provider Directory

National Provider Directory

Locations

713 NE 125th St
North Miami, FL 33161
Phone (786) 318-8732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588464000000",
    "number": "1013538800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14880 SW 180TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876275",
            "telephone_number": "786-318-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14880 SW 180TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876275",
            "telephone_number": "786-318-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MIAMI HOLISTIC WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A",
        "authorized_official_last_name": "GOUSSE",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "786-318-8732",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.