NPIMap

Organization Active NPI

Kope Executive Wellness and Psychotherapy

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1033884952
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOPE EXECUTIVE WELLNESS AND PSYCHOTHERAPY
Practice address
2901 NE 33Rd Ave Apt 1C
Fort Lauderdale, FL 33308-7218
Phone
(646) 647-7644
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Kori Grillo, LCSWNPI 1619282324
Title
President
Phone
(646) 647-7644

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2901 NE 33Rd Ave Apt 1C
Fort Lauderdale, FL 33308-7218

Mailing address

2901 NE 33Rd Ave Apt 1C
Fort Lauderdale, FL 33308-7218

National Provider Directory

National Provider Directory

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1033884952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 NE 33RD AVE APT 1C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 NE 33RD AVE APT 1C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087218",
            "telephone_number": "646-647-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPE EXECUTIVE WELLNESS AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "KORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-647-7644",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.