MBS Counseling & Family Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MBS COUNSELING & FAMILY CENTER, LLC

Doing business as

None

Practice address

11820 Miramar Pkwy Ste 224
Miramar, FL 33025-5818

Phone

(954) 547-3479

Fax

(954) 416-7846

NPI assigned

Feb 5, 2014

Last updated

Mar 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valarie D Fields ErvinNPI 1760494421

Title

Ceo

Phone

(954) 547-3479

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• None Doing business as

Electronic endpoints 2

Locations

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.

• Valarie D Fields Ervin, LCSW

  • Clinical Social Worker
  • Miramar, FL
  • NPI 1760494421
  Authorized official Same address or phone

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1376967877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 NW 6TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283107",
            "telephone_number": "954-547-3479",
            "fax_number": "954-416-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 224",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255818",
            "telephone_number": "954-547-3479",
            "fax_number": "954-416-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS COUNSELING & FAMILY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "FIELDS ERVIN",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-547-3479"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104197900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376967877",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shadesofchange2@gmail.com",
            "affiliation": "N",
            "address_1": "11820 Miramar Pkwy Ste 224",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330255818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shadesofchange2@gmail.com",
            "affiliation": "N",
            "address_1": "11820 Miramar Pkwy Ste 224",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330255818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmany Cristobal Mayola Garcia
• Jennifer Mayor
• Janessa Mazon, COTA/L
• Chinwe A Mba, APRN
• Paulinus Mba, RPH
• Tanisha Q McCall
• Andre Lloyd McCalla
• Elaina McCann- Brinson, OT/L
• Jonathan James McClain
• Geoffrey Osmond McCorkle

• Clinical Social Worker in Miramar, FL
• Providers in Miramar, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.