Organization Active NPI

Comprehensive Counseling and Wellness Center LLC

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1396415253
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMPREHENSIVE COUNSELING AND WELLNESS CENTER LLC
Practice address
10201 Hammocks Blvd Ste 123
Miami, FL 33196-3783
Phone
(786) 577-3427
Fax
(305) 402-3728
NPI assigned
Sep 14, 2021
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Yusley PerezNPI 1700327608
Title
Ceo
Phone
(305) 877-0806

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

10201 Hammocks Blvd Ste 123
Miami, FL 33196-3783

Mailing address

10201 Hammocks Blvd Ste 123
Miami, FL 33196-3783
Phone (786) 577-3427

Other identifiers 1

IdentifierTypeStateIssuer
108678800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Counseling and Wellness Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10201 Hammocks Blvd
Ste 123
Miami, FL 33196
Phone (305) 385-5582

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": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1396415253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD STE 123",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963783",
            "telephone_number": "786-577-3427",
            "fax_number": "305-402-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD STE 123",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963783",
            "telephone_number": "786-577-3427",
            "fax_number": "305-402-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "YUSLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-877-0806"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108678800",
            "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 Oct 3, 2023; 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.