Organization Active NPI

Three Heart Beats Counseling Services LLC

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1336842293
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THREE HEART BEATS COUNSELING SERVICES LLC
Practice address
10100 W Sample Rd Ste 300
Coral Springs, FL 33065-3973
Phone
(561) 244-2553
Fax
(561) 258-9123
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Wiliette Debra Sejour-Thelismon, LCSWNPI 1730622879
Title
Clinical Therapist
Phone
(561) 244-2553

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10100 W Sample Rd Ste 300
Coral Springs, FL 33065-3973

Mailing address

10100 W Sample Rd Ste 300
Coral Springs, FL 33065-3973
Phone (561) 244-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501001739 FL Part B Supplier - Clinic/Group Practice 7315387800 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1336842293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 W SAMPLE RD STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653973",
            "telephone_number": "561-244-2553",
            "fax_number": "561-258-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W SAMPLE RD STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653973",
            "telephone_number": "561-244-2553",
            "fax_number": "561-258-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE HEART BEATS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SEJOUR-THELISMON",
        "authorized_official_first_name": "WILIETTE",
        "authorized_official_middle_name": "DEBRA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "561-244-2553",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.