Organization Active NPI

JCW Mental Health LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1285308965
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JCW MENTAL HEALTH LLC
Practice address
7392 NW 35TH Ter Ste 303
Miami, FL 33122-1260
Phone
(786) 695-2202
Fax
(786) 536-7615
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Chabely D Tapanes Prado
Title
President
Phone
(786) 695-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7392 NW 35TH Ter Ste 303
Miami, FL 33122-1260

Mailing address

19812 SW 121St Ave
Miami, FL 33177-4355
Phone (786) 695-2202

Other names 1

  • JCW MENTAL HEALTH LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327000424 FL Part B Supplier - Clinic/Group Practice 4789058140 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2271688JCW Mental Health LLC7392 NW 35TH Terr, Unit 303, Miami, FL 33122Certificate of waiverNov 6, 2026

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": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1285308965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19812 SW 121ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774355",
            "telephone_number": "786-695-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221260",
            "telephone_number": "786-695-2202",
            "fax_number": "786-536-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCW MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "TAPANES PRADO",
        "authorized_official_first_name": "CHABELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-695-2202"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCW MENTAL HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JCW MENTAL HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.