Individual provider Active NPI

Anne Clacema, MS

  • Counselor
  • Miami, FL
National Provider Identifier
1659712537
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMH8880 Issued in FL
Practice address
169 E Flagler St
Suite 1300
Miami, FL 33131-1210
Phone
(786) 499-6923
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMH8880 FL Primary

Addresses

Primary practice location

169 E Flagler St
Suite 1300
Miami, FL 33131-1210

Mailing address

671 NE 195TH St
Unit 427-E
North Miami Beach, FL 33179-3340
Phone (786) 499-6923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH8880FLMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1659712537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 NE 195TH ST",
            "address_2": "UNIT 427-E",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793340",
            "telephone_number": "786-499-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E FLAGLER ST",
            "address_2": "SUITE 1300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311210",
            "telephone_number": "786-499-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLACEMA",
        "first_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH8880",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 9, 2013; 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.