Organization Active NPI

Mind & Body Integrative Counseling Center

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1518709161
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND & BODY INTEGRATIVE COUNSELING CENTER
Practice address
9000 Sheridan St Ste 154
Pembroke Pines, FL 33024-8801
Phone
(954) 281-2626
Fax
(954) 281-5946
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Taylor Nicole Rosand, MSNPI 1265834584
Title
Owner/Licensed Counselor
Phone
(954) 281-2626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

9000 Sheridan St Ste 154
Pembroke Pines, FL 33024-8801

Mailing address

9000 Sheridan St Ste 154
Pembroke Pines, FL 33024-8801
Phone (954) 281-2626

Other practice location 1

9000 Sheridan St Ste 156
Pembroke Pines, FL 33024-8801
Phone (954) 281-2626

National Provider Directory

National Provider Directory

Locations

9000 Sheridan St
Ste 156
Pembroke Pines, FL 33024
Phone (954) 281-2626

9000 Sheridan St
Ste 154
Pembroke Pines, FL 33024
Phone (954) 281-2626

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": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1518709161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 154",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248801",
            "telephone_number": "954-281-2626",
            "fax_number": "954-281-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 154",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248801",
            "telephone_number": "954-281-2626",
            "fax_number": "954-281-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Sheridan St Ste 156",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330248801",
            "country_code": "US",
            "telephone_number": "954-281-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND & BODY INTEGRATIVE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ROSAND",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/LICENSED COUNSELOR",
        "authorized_official_telephone_number": "954-281-2626",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.