Organization Active NPI

Wellness Counseling Services, LLC

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1396177390
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2171 Issued in FL
Legal business name
WELLNESS COUNSELING SERVICES, LLC
Practice address
905 Brickell Bay Dr
Suite 228
Miami, FL 33131-2935
Phone
(305) 335-6455
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Ms. Lydia Carrion Cerpa, LCSWNPI 1497893564
Title
Licensed Clinical Social Worker/MGR
Phone
(305) 335-6455

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH11707 FL
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW2171 FL Primary

Addresses

Primary practice location

905 Brickell Bay Dr
Suite 228
Miami, FL 33131-2935

Mailing address

905 Brickell Bay Dr
Suite 228
Miami, FL 33131-2935
Phone (305) 335-6455

Other identifiers 2

IdentifierTypeStateIssuer
1730425778OtherFLINDIVIDUAL NPI
1497893564OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

905 Brickell Bay Dr
Ste 228
Miami, FL 33131
Phone (305) 335-6455

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1396177390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BRICKELL BAY DR",
            "address_2": "SUITE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312935",
            "telephone_number": "305-335-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BRICKELL BAY DR",
            "address_2": "SUITE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312935",
            "telephone_number": "305-335-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CERPA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "CARRION",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/MGR",
        "authorized_official_telephone_number": "305-335-6455",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11707",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730425778",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497893564",
            "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 Aug 1, 2013; 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.