Integrative Counseling Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTEGRATIVE COUNSELING GROUP LLC

Practice address

14730 SW 56TH St
Miami, FL 33185-4041

Phone

(786) 356-1853

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Yurit Fonseca, N/ANPI 1225345069

Title

Ambr

Phone

(786) 348-3857

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Yurit Fonseca, LMT

  • Rehabilitation Hospital Unit
  • Miami, FL
  • NPI 1225345069
  NPD Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1316583115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854041",
            "telephone_number": "786-356-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854041",
            "telephone_number": "786-356-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "YURIT",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-348-3857",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ail_monzon06@hotmail.com",
            "affiliation": "N",
            "address_1": "14730 SW 56th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331854041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Miami, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.