Organization Active NPI

Aurilia'S Place a Place to Call Home LLC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1417548249
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Aurilia Joann Gray-Grimes, LICENSED MHCNPI 1770047797
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1770047797MedicaidFL

Other names 1

  • Aurilia's A place of wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address auriliaplace@outlook.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.