Active NPI
University Counseling Center
- Adult Mental Health Clinic/Center
- Plantation, FL
National Provider Identifier
1598944225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- SW7020
- Legal business name
- UNIVERSITY COUNSELING CENTER
- Practice address
- 8030 Peters Rd
D 106
Plantation, FL 33324-4038 - Phone
- (954) 475-9503
- Fax
- (954) 905-4399
- NPI assigned
- Oct 30, 2007
- Reactivated
- Aug 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jairo Serna, LCSW
- Title
- Partner
- Phone
- (954) 603-7867
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | SW7020 | FL | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | MT2274 | FL |
Addresses
Primary practice location
8030 Peters Rd
D 106
Plantation, FL 33324-4038
Mailing address
2451 Brickell Ave
Suite 16-G
Miami, FL 33129-2436
Phone (305) 328-5621
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Coral Gables, FL
- NPI 1902920572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409270400000",
"number": "1598944225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 BRICKELL AVE",
"address_2": "SUITE 16-G",
"city": "MIAMI",
"state": "FL",
"postal_code": "331292436",
"telephone_number": "305-328-5621",
"fax_number": "954-905-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 PETERS RD",
"address_2": "D 106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244038",
"telephone_number": "954-475-9503",
"fax_number": "954-905-4399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2014-08-29",
"deactivation_date": "2014-06-24",
"reactivation_date": "2014-08-29",
"status": "A",
"authorized_official_last_name": "SERNA",
"authorized_official_first_name": "JAIRO",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "954-603-7867",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "FL",
"license": "SW7020",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "FL",
"license": "MT2274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.