Organization Active NPI

Healing Therapeutic Practice, LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1265164420
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HEALING THERAPEUTIC PRACTICE, LLC
Practice address
15250 SW 154TH Ave
Miami, FL 33187-5437
Phone
(305) 788-2491
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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

Authorized official

Name
Mrs. Jinell Nellie Gonzalez, BCBA, LMHCNPI 1538440847
Title
Ceo
Phone
(305) 788-2491

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

15250 SW 154TH Ave
Miami, FL 33187-5437

Mailing address

15250 SW 154TH Ave
Miami, FL 33187-5437
Phone (305) 788-2491

National Provider Directory

National Provider Directory

Locations

325 Calusa St
Unit 343
Key Largo, FL 33037

2054 Vista Pkwy
Ste 400A
West Palm Beach, FL 33411

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": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680998400000",
    "number": "1265164420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15250 SW 154TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875437",
            "telephone_number": "305-788-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15250 SW 154TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875437",
            "telephone_number": "305-788-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING THERAPEUTIC PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JINELL",
        "authorized_official_middle_name": "NELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-788-2491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA, LMHC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.