Active NPI
North Miami Holistic Wellness Center, Inc.
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1013538800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nadine L Gousse, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1023551660
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": []
}
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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.