Integrated Community Support, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INTEGRATED COMMUNITY SUPPORT, LLC

Practice address

13643 SW 26TH St
Miami, FL 33175-6378

Phone

(305) 400-8281

Fax

(305) 400-8513

NPI assigned

Jan 9, 2020

Last updated

Oct 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jax Carrillo

Title

President

Phone

(305) 790-5075

Specialties & licenses 2

Addresses

Locations

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.

• Lisset Barrial

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1093354805

  Mental Health (Including Community Mental Health Center)

  NPD

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1265072078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13643 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756378",
            "telephone_number": "305-400-8281",
            "fax_number": "305-400-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13643 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756378",
            "telephone_number": "305-400-8281",
            "fax_number": "305-400-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "JAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-790-5075"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Surgical Services
• Integrate Community Health System, Inc. (Metropolitan Community Clinic)
• Integrated Behavioral Health, PA
• Integrated Care Transitions LLC
• Integrated Children's Therapy
• Integrated Comprehensive Urgent Care LLC (Medical Professionals of Miami)
• Integrated Comprehensive Urgent Care, LLC.
• Integrated Dermatology of South Miami LLC
• Integrated Dermatology of Sunset Drive, LLC (Dermatology of Miami)
• Integrated Diagnostic of South Florida Inc (The Pulmonary Center)

• Multi-Specialty Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.