Individual provider Active NPI

Giselle Caridad Mallon, LMHC

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1376707877
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9366 Issued in FL
Practice address
8180 NW 36TH St
Suite 100-C
Doral, FL 33166-6645
Phone
(305) 753-2671
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9366 FL Primary

Addresses

Primary practice location

8180 NW 36TH St
Suite 100-C
Doral, FL 33166-6645

Mailing address

4727 NW 4TH St
Miami, FL 33126-2113
Phone (305) 443-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003638 FL Practitioner - Mental Health Counselor 0345688149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9366FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resource Community Health Centers, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Care Resource Community Health Centers, Inc Current Accepting new patients
Care Resource Community Health Centers, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Care Resource Community Health Centers Inc Past Accepting new patients
Mind, Body and Soul Counseling Services Mental Health Past Accepting new patients

Locations

3510 Biscayne Blvd
Miami, FL 33137
Phone 3055761234282

1800 SW 1st St
Miami, FL 33135
Phone (786) 360-2549

1680 Michigan Ave
Ste 912
Miami Beach, FL 33139
Phone (305) 534-0503

3160 Powerline Rd
Oakland Park, FL 33309
Phone (305) 773-7844

871 W Oakland Park Blvd
Wilton Manors, FL 33311
Phone (954) 567-7141

Interoperability endpoints

  • Direct secure messaging: giselle.mallon.p1@direct.careresource.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1376707877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262113",
            "telephone_number": "305-443-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 100-C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-753-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLON",
        "first_name": "GISELLE",
        "middle_name": "CARIDAD",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.