NPIMap

Organization Active NPI

Holistix Medical Group

  • Addiction (Substance Use Disorder) Counselor
  • Ft Lauderdale, FL
National Provider Identifier
1487077897
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
HOLISTIX MEDICAL GROUP
Practice address
1815 E Commercial Blvd
Ste 206
Ft Lauderdale, FL 33308-3760
Phone
(954) 941-3413
Fax
(754) 200-6283
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Jessica Watkins, MSW
Title
Coo
Phone
(561) 213-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1815 E Commercial Blvd
Ste 206
Ft Lauderdale, FL 33308-3760

Mailing address

1815 E Commercial Blvd
Ste 206
Ft Lauderdale, FL 33308-3760
Phone (954) 941-3413

National Provider Directory

National Provider Directory
Tax ID family
Holistix Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1815 E Commercial Blvd
Ste 206
Ft Lauderdale, FL 33308
Phone (954) 941-3413

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1487077897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E COMMERCIAL BLVD",
            "address_2": "STE 206",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083760",
            "telephone_number": "954-941-3413",
            "fax_number": "754-200-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E COMMERCIAL BLVD",
            "address_2": "STE 206",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083760",
            "telephone_number": "954-941-3413",
            "fax_number": "754-200-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIX MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-213-4103",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.