Miami Counseling & Wellness Corp.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIAMI COUNSELING & WELLNESS CORP.

Doing business as

Psych Blossom

Practice address

2730 SW 3Rd Ave Ste 202O
Miami, FL 33129-2323

Phone

(786) 244-3520

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kety Lopez, LMHCNPI 1497166706

Title

President

Phone

(786) 366-6030

Specialties & licenses 1

Addresses

Other names 1

• Psych Blossom Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kety Lopez, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1497166706
  NPD Authorized official
• Satie Dopp

  • Mental Health Counselor
  • Denver, CO
  • NPI 1528710951
  NPD
• Jessica Lynn Dvorscak, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1699493213
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1033893623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SABAL DR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142523",
            "telephone_number": "305-518-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 202O",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "786-244-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COUNSELING & WELLNESS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "KETY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-366-6030",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psych Blossom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Miami Dade County Community Action and Human Services Department

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.