Organization Active NPI

Quantum Recovery Counseling LLC

  • Clinical Social Worker
  • Miami Beach, FL
National Provider Identifier
1639659246
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15326 Issued in FL
Legal business name
QUANTUM RECOVERY COUNSELING LLC
Practice address
635 Euclid Ave Apt 101
Miami Beach, FL 33139-8666
Phone
(305) 528-1165
Fax
(305) 705-3236
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Darren Gerard Cefalu, LCSWNPI 1336628999
Title
Owner
Phone
(305) 528-1165

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW15326 FL Primary

Addresses

Primary practice location

635 Euclid Ave Apt 101
Miami Beach, FL 33139-8666

Mailing address

635 Euclid Ave Apt 101
Miami Beach, FL 33139-8666
Phone (305) 528-1165

Other identifiers 1

IdentifierTypeStateIssuer
SW15326OtherFLMENTAL HEALTH COUNSELING

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": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1639659246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 EUCLID AVE APT 101",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331398666",
            "telephone_number": "305-528-1165",
            "fax_number": "305-705-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 EUCLID AVE APT 101",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331398666",
            "telephone_number": "305-528-1165",
            "fax_number": "305-705-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM RECOVERY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "CEFALU",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-528-1165",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING",
            "identifier": "SW15326",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.