Organization Active NPI

Sonrisa Mia, LLC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1184108482
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SONRISA MIA, LLC
Practice address
9114 Smoketree Dr
Jacksonville, FL 32244-7400
Phone
(904) 452-3428
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Osyma Del ValleNPI 1205150299
Title
LMHC/Therapist
Phone
(904) 452-3428

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9114 Smoketree Dr
Jacksonville, FL 32244-7400

Mailing address

9114 Smoketree Dr
Jacksonville, FL 32244-7400
Phone (904) 452-3428

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1184108482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 SMOKETREE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447400",
            "telephone_number": "904-452-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 SMOKETREE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447400",
            "telephone_number": "904-452-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA MIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "OSYMA",
        "authorized_official_title_or_position": "LMHC/THERAPIST",
        "authorized_official_telephone_number": "904-452-3428"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.