Organization Active NPI

Lumen Cordis Behavioral Health, LLC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1295333706
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LUMEN CORDIS BEHAVIORAL HEALTH, LLC
Practice address
2936 Hidden Hills Rd Apt 1503
West Palm Beach, FL 33411-4826
Phone
(954) 643-3825
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Ana P MartinezNPI 1063803815
Title
Owner
Phone
(954) 643-3825

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2936 Hidden Hills Rd Apt 1503
West Palm Beach, FL 33411-4826

Mailing address

931 Village Blvd Ste 905-251
West Palm Beach, FL 33409-1803

National Provider Directory

National Provider Directory

Locations

931 Village Blvd
Ste 905251
West Palm Beach, FL 33409

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1295333706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 VILLAGE BLVD STE 905-251",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 HIDDEN HILLS RD APT 1503",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334114826",
            "telephone_number": "954-643-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN CORDIS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-643-3825"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.