Wonderful Counselor LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WONDERFUL COUNSELOR LLC

Practice address

1175 NE 125TH St Ste 420
North Miami, FL 33161-5011

Phone

(786) 906-8656

NPI assigned

Jul 4, 2020

Organization subpart

No

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

Authorized official

Name

Magda Demerritt, LCSWNPI 1023440930

Title

Owner

Phone

(786) 906-8656

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Magda Demerritt, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1023440930
  NPD Authorized official

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593820800000",
    "number": "1295352425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST STE 420",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615011",
            "telephone_number": "786-906-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST STE 420",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615011",
            "telephone_number": "786-906-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL COUNSELOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A",
        "authorized_official_last_name": "DEMERRITT",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-906-8656",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015014900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wonderfulcounselorllc.com",
            "affiliation": "N",
            "address_1": "1175 NE 125th St Ste 420",
            "city": "North Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331615011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Wise, NCPRSS
• Without Limits Therapy Services Inc
• William Witt, M.D.
• Emmanuela Henriette Wolloch, M.D.
• Women'S Health / Natural Care
• Wonderland Behavior Services LLC
• Wonderland Therapy Services LLC
• Ann Marie Deveras Wong, M.D.
• Emily Jeanne Wutz, OTR/L
• Xavier International Laboratories

• Clinical Social Worker in North Miami, FL
• Providers in North Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.