Novenna Medical Group Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NOVENNA MEDICAL GROUP INC

Practice address

5979 NW 151 St Ste 110
Miami Lakes, FL 33014-2448

Phone

(786) 762-2973

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Jahzier Arias

Title

Owner

Phone

(786) 762-2973

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1114495694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151 ST STE 110",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142448",
            "telephone_number": "786-762-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151 ST STE 110",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142448",
            "telephone_number": "786-762-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVENNA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "JAHZIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-762-2973"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC11532",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Miami Lakes, FL
• Providers in Miami Lakes, 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 Sep 1, 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.