Organization Active NPI

Blue Line Counseling

  • Adult Mental Health Clinic/Center
  • South Miami, FL
National Provider Identifier
1164967204
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH10663 Issued in FL
Legal business name
BLUE LINE COUNSELING
Practice address
7600 SW 57TH Ave
#225
South Miami, FL 33143-5428
Phone
(305) 916-6665
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Melissa BaroselaNPI 1417408014
Title
LMHC/Director
Phone
(305) 916-6665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH10663 FL Primary

Addresses

Primary practice location

7600 SW 57TH Ave
#225
South Miami, FL 33143-5428

Mailing address

9800 SW 148TH Ter
Miami, FL 33176-7848

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1164967204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SW 148TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE",
            "address_2": "#225",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435428",
            "telephone_number": "305-916-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LINE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "BAROSELA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LMHC/DIRECTOR",
        "authorized_official_telephone_number": "305-916-6665"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.