Organization Active NPI

Peaceful Progress Miami, LLC

  • Community/Behavioral Health Agency
  • Doral, FL
National Provider Identifier
1467288803
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PEACEFUL PROGRESS MIAMI, LLC
Practice address
3785 NW 82ND Ave Ste 307
Doral, FL 33166-6631
Phone
(305) 898-5420
NPI assigned
Sep 11, 2024
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Mayelin Gonzalez Pombart
Title
Ceo
Phone
(786) 558-4732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3785 NW 82ND Ave Ste 307
Doral, FL 33166-6631

Mailing address

3785 NW 82ND Ave Ste 307
Doral, FL 33166-6631
Phone (786) 558-4732

Other identifiers 1

IdentifierTypeStateIssuer
124476300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514000259 FL Part B Supplier - Clinic/Group Practice 5890213896 Receives reassigned benefits from 8 practitioners
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1467288803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE STE 307",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666631",
            "telephone_number": "786-558-4732",
            "fax_number": "786-359-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE STE 307",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666631",
            "telephone_number": "305-898-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL PROGRESS MIAMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ POMBART",
        "authorized_official_first_name": "MAYELIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-558-4732"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124476300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.