Organization Active NPI

Kairos Counseling Group, Inc

  • Marriage & Family Therapist
  • Coral Gables, FL
National Provider Identifier
1417501859
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KAIROS COUNSELING GROUP, INC
Practice address
2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620
Phone
(786) 444-6433
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Teresita Ibarra, MSNPI 1841626496
Title
Owner
Phone
(786) 444-6433

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620

Mailing address

8707 SW 159TH Path
Miami, FL 33193-5285
Phone (786) 444-6433

Other identifiers 1

IdentifierTypeStateIssuer
017855000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1417501859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SW 159TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935285",
            "telephone_number": "786-444-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344620",
            "telephone_number": "786-444-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS COUNSELING GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-444-6433",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017855000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.