Active NPI
Prevail and Progress Counseling PLLC
- Mental Health Counselor
- Cutler Bay, FL
National Provider Identifier
1053073304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PREVAIL AND PROGRESS COUNSELING PLLC
- Practice address
- 18704 SW 100TH Ave
Cutler Bay, FL 33157-6906 - Phone
- (305) 812-6018
- NPI assigned
- Oct 13, 2021
- 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. Tiffany Simone Crider, LMHC
- Title
- Ceo
- Phone
- (786) 300-7080
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
18704 SW 100TH Ave
Cutler Bay, FL 33157-6906
Mailing address
18704 SW 100TH Ave
Cutler Bay, FL 33157-6906
Phone (305) 812-6018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083961171 | Other | FL | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.prevailandprogress.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1083961171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1053073304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18704 SW 100TH AVE",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576906",
"telephone_number": "305-812-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18704 SW 100TH AVE",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576906",
"telephone_number": "305-812-6018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVAIL AND PROGRESS COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "CRIDER",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "SIMONE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-300-7080",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1083961171",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.prevailandprogress.com",
"affiliation": "N",
"address_1": "18704 SW 100th Ave",
"city": "Cutler Bay",
"state": "FL",
"country_code": "US",
"postal_code": "331576906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.