Active NPI
Aurilia'S Place a Place to Call Home LLC
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1417548249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- AURILIA'S PLACE A PLACE TO CALL HOME LLC
- Practice address
- 744 NW 12TH Ave
Fort Lauderdale, FL 33311-7102 - Phone
- (754) 249-6359
- NPI assigned
- Feb 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aurilia Joann Gray-Grimes, LICENSED MHC
- Title
- President/Counselor
- Phone
- (754) 249-6359
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
744 NW 12TH Ave
Fort Lauderdale, FL 33311-7102
Mailing address
2551 NW 103Rd Ave Apt 109
Sunrise, FL 33322-6805
Phone (754) 249-6359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770047797 | Medicaid | FL |
Other names 1
- Aurilia's A place of wellness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | auriliaplace@outlook.com | Direct |
National Provider Directory
National Provider DirectoryLocations
744 NW 12th Ave
Fort Lauderdale, FL 33311
Phone (754) 249-6359
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Sunrise, FL
- NPI 1770047797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612310400000",
"number": "1417548249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 NW 103RD AVE APT 109",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333226805",
"telephone_number": "754-249-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 NW 12TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333117102",
"telephone_number": "754-249-6359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURILIA'S PLACE A PLACE TO CALL HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A",
"authorized_official_last_name": "GRAY-GRIMES",
"authorized_official_first_name": "AURILIA",
"authorized_official_middle_name": "JOANN",
"authorized_official_title_or_position": "PRESIDENT/COUNSELOR",
"authorized_official_telephone_number": "754-249-6359",
"authorized_official_credential": "LICENSED MHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770047797",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "auriliaplace@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2551 NW 103rd Ave",
"city": "Sunrise",
"state": "FL",
"country_code": "US",
"postal_code": "333226802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Aurilia's A place of wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.