Active NPI
Blue Ocean Minds, LLC
- Clinical Social Worker
- Dania Beach, FL
National Provider Identifier
1366901456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BLUE OCEAN MINDS, LLC
- Practice address
- 257 SW 7TH St
Dania Beach, FL 33004-3947 - Phone
- (305) 606-3882
- NPI assigned
- Mar 18, 2019
- Last updated
- Mar 18, 2019
- 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
- Mrs. Yensy Acosta, LCSW
- Title
- Manager
- Phone
- (305) 606-3882
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
257 SW 7TH St
Dania Beach, FL 33004-3947
Mailing address
257 SW 7TH St
Dania Beach, FL 33004-3947
Phone (305) 606-3882
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Dania Beach, FL
- NPI 1679965255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552867200000",
"number": "1366901456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 SW 7TH ST",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330043947",
"telephone_number": "305-606-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 SW 7TH ST",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330043947",
"telephone_number": "305-606-3882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE OCEAN MINDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "YENSY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-606-3882",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dania Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.