NCC Wellness Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NCC WELLNESS SERVICES LLC

Practice address

1886 SW 57TH Ave
Miami, FL 33155-2139

Phone

(305) 791-9661

NPI assigned

Apr 12, 2025

Organization subpart

No

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

Authorized official

Name

Yaima Hurtado Soto

Title

Vice President

Phone

(305) 791-9661

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

NCC Wellness Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NCC Wellness Services LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1306703939
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Luis Jorge, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1366949737

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Vanessa L Pages, PSYD

  • Mental Health Counselor
  • Miami, FL
  • NPI 1659317782

  Behavior Analyst

  Medicare reassignment Care Compare group NPD
• Raul Ulloa Valladares, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1922574185
  Medicare reassignment Care Compare group NPD
• Claudia Garcia Ribbi, LMHC

  • Mental Health Counselor
  • Pembroke Pines, FL
  • NPI 1952916892
  NPD
• Beatriz Paz, BS

  • Social Worker
  • Sweetwater, FL
  • NPI 1831495480
  NPD (past)

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

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1285429985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552139",
            "telephone_number": "305-791-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552139",
            "telephone_number": "305-791-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 NW 107th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "FL",
            "postal_code": "331722739",
            "country_code": "US",
            "telephone_number": "305-791-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NCC WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-12",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "HURTADO SOTO",
        "authorized_official_first_name": "YAIMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-791-9661"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V5406",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126431200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.