Miranda Healing Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIRANDA HEALING GROUP

Doing business as

MLR Healing

Practice address

7301 N University Dr Ste 209
Tamarac, FL 33321-2935

Phone

(954) 840-8583

Fax

(954) 278-8506

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nadia Maria Jimenez, LCSW, PHDNPI 1164728481

Title

Owner

Phone

(201) 820-5422

Specialties & licenses 1

Addresses

Other names 1

• MLR Healing Doing business as

Electronic endpoints 1

Practitioners 1

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

• Nadia M Jimenez, LCSW

  • Clinical Social Worker
  • Tamarac, FL
  • NPI 1164728481
  NPD Authorized official

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1437870870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 NW 94TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515149",
            "telephone_number": "201-820-5422",
            "fax_number": "954-278-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N UNIVERSITY DR STE 209",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212935",
            "telephone_number": "954-840-8583",
            "fax_number": "954-278-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA HEALING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-820-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nadia@counselnjsolutions.com",
            "affiliation": "N",
            "address_1": "7301 N University Dr Ste 209",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333212935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MLR Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.