Active NPI
Cornerstone Deliverance & Development Ministries for Christ, Inc
- Case Management Agency
- Miami, FL
National Provider Identifier
1609526540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC
- Practice address
- 11440 SW 214TH St
Miami, FL 33189-2736 - Phone
- (954) 807-8990
- Fax
- (954) 827-0769
- NPI assigned
- Mar 24, 2022
- 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
- Johanna Courts
- Title
- Coo
- Phone
- (561) 805-0378
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Family Psychologist | 103TF0000X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Meals Provider | 174200000X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
11440 SW 214TH St
Miami, FL 33189-2736
Mailing address
3090 NW 7TH St
Fort Lauderdale, FL 33311-7612
Phone (954) 526-4117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104880800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Cornerstone Deliverance Development Ministries for Christ Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Fort Lauderdale, FL
- NPI 1700337656
-
- Community/Behavioral Health Agency
- Lyons, GA
- NPI 1295495497
Locations
11440 SW 214th St
Miami, FL 33189
Phone (954) 807-8990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1609526540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 NW 7TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333117612",
"telephone_number": "954-526-4117",
"fax_number": "954-827-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 SW 214TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331892736",
"telephone_number": "954-807-8990",
"fax_number": "954-827-0769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "COURTS",
"authorized_official_first_name": "JOHANNA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "561-805-0378"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104880800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.