NPIMap

Organization Active NPI

Ekilibrium, Inc.

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1114352382
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11451 Issued in FL
Legal business name
EKILIBRIUM, INC.
Practice address
5881 NW 151St St Ste 111
Miami Lakes, FL 33014-2455
Phone
(305) 440-8920
NPI assigned
Sep 6, 2013
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Ms. Gladys Aroche, LMHC-SNPI 1982898284
Title
President
Phone
(305) 440-8920

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH11451 FL Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X

Addresses

Primary practice location

5881 NW 151St St Ste 111
Miami Lakes, FL 33014-2455

Mailing address

5881 NW 151St St Suite 111
Miami Lakes, FL 33014
Phone (305) 440-8920

Other identifiers 1

IdentifierTypeStateIssuer
019941600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ekilibrium Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5881 NW 151st St
Ste 111
Miami Lakes, FL 33014
Phone (305) 440-8920

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1114352382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST SUITE 111",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-440-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 111",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "305-440-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKILIBRIUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "AROCHE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-440-8920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11451",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019941600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.