The Peaceful Mind Factory

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 14918 Issued in FL

Legal business name

THE PEACEFUL MIND FACTORY

Practice address

1165 NW 184TH Way
Pembroke Pines, FL 33029-3633

Phone

(786) 663-3983

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Ana Maria Lopez Medrano, LMHCNPI 1528599354

Title

Licensed Mental Health Counselor

Phone

(786) 663-3983

Specialties & licenses 1

Addresses

Tax ID family

The Peaceful Mind Factory2 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.

• The Peaceful Mind Factory

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1467004812
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ana Lopez Medrano

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1528599354
  NPD Authorized official
• Brianna Botteri

  • Behavior Technician
  • Hialeah, FL
  • NPI 1437757051
  NPD (past)
• Tanya Hylton

  • Behavior Technician
  • Davie, FL
  • NPI 1215482336
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1154855724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NW 184TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293633",
            "telephone_number": "786-663-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NW 184TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293633",
            "telephone_number": "786-663-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3408 W 84th St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330184943",
            "country_code": "US",
            "telephone_number": "954-229-4775",
            "fax_number": "786-803-8838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PEACEFUL MIND FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MEDRANO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "786-663-3983",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 14918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The DME Boutique LLC
• The Health Direct Group, LLC
• The Link LLC
• The Missing Key, LLC
• The Parent Resource, PA
• The Playful Minds Psychology Center of South Flori
• The Relationship Counseling Center
• The Village Pharmacies, LLC
• The Village South, Inc
• The Wellness NPS

• Mental Health Counselor in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Oct 15, 2018; 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.