Organization Active NPI

Enlightened Mind Counseling LLC

Doing business as Beyond-Counseling

  • Adult Mental Health Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1629530480
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ENLIGHTENED MIND COUNSELING LLC
Doing business as
Beyond-Counseling
Practice address
3038 N Federal Hwy Uppr F2
Fort Lauderdale, FL 33306-1436
Phone
(954) 668-9501
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Amanda Gurgel, LMHCNPI 1760742415
Title
Owner
Phone
(954) 668-9501

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3038 N Federal Hwy Uppr F2
Fort Lauderdale, FL 33306-1436

Mailing address

3038 N Federal Hwy Uppr F2
Fort Lauderdale, FL 33306-1436
Phone (954) 668-9501

Other practice location 1

3038 N Federal Hwy Uppr F2
Fort Lauderdale, FL 33306-1436
Phone (954) 668-9501

Other names 1

  • Beyond-Counseling Doing business as

National Provider Directory

National Provider Directory

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": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1629530480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 N FEDERAL HWY UPPR F2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061436",
            "telephone_number": "954-668-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 N FEDERAL HWY UPPR F2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061436",
            "telephone_number": "954-668-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3038 N Federal Hwy Uppr F2",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333061436",
            "country_code": "US",
            "telephone_number": "954-668-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENLIGHTENED MIND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "GURGEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-668-9501",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond-Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.