Organization Active NPI

Infinite Personal Possibilities, Inc.

  • Mental Health Counselor
  • Aventura, FL
National Provider Identifier
1487619037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INFINITE PERSONAL POSSIBILITIES, INC.
Practice address
17501 Biscayne Blvd
Aventura, FL 33160-4809
Phone
(305) 573-6333
Fax
(305) 573-6888
NPI assigned
Apr 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mario B Costa
Title
Vice-President
Phone
(305) 573-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

17501 Biscayne Blvd
Aventura, FL 33160-4809

Mailing address

17501 Biscayne Blvd
Aventura, FL 33160-4809
Phone (305) 573-6333

Other identifiers 1

IdentifierTypeStateIssuer
6745806968MedicaidFL

Other names 1

  • IPP Other name

National Provider Directory

National Provider Directory

Locations

17501 Biscayne Blvd
Aventura, FL 33160
Phone (305) 573-6333

Practitioners & affiliated clinicians

Practitioners 1

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487619037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604809",
            "telephone_number": "305-573-6333",
            "fax_number": "305-573-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604809",
            "telephone_number": "305-573-6333",
            "fax_number": "305-573-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE PERSONAL POSSIBILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "305-573-6333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6745806968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.