Active NPI
Medi Nurse Behavioral Solutions Inc
- Professional Counselor
- Miami, FL
National Provider Identifier
1336199447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MEDI NURSE BEHAVIORAL SOLUTIONS INC
- Practice address
- 6175 NW 167TH St
Suite G-15
Miami, FL 33015-4339 - Phone
- (305) 824-8880
- Fax
- (954) 485-4452
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlene M Grecsek, EDD, LMHC
- Title
- Program Director
- Phone
- (954) 484-0051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | FL | Primary |
Addresses
Primary practice location
6175 NW 167TH St
Suite G-15
Miami, FL 33015-4339
Mailing address
2800 W Oakland Park Blvd
Suite 206
Oakland Park, FL 33311-1370
Phone (954) 484-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209943 | Other | FL | AMERIGROUP PROVIDER NUM |
National Provider Directory
National Provider DirectoryLocations
2800 W Oakland Park Blvd
Ste 206
Oakland Park, FL 33311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1336199447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W OAKLAND PARK BLVD",
"address_2": "SUITE 206",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333111370",
"telephone_number": "954-484-0051",
"fax_number": "954-485-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6175 NW 167TH ST",
"address_2": "SUITE G-15",
"city": "MIAMI",
"state": "FL",
"postal_code": "330154339",
"telephone_number": "305-824-8880",
"fax_number": "954-485-4452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDI NURSE BEHAVIORAL SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GRECSEK",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "954-484-0051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD, LMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER NUM",
"identifier": "209943",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.