Mental Health Group Private Practice PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENTAL HEALTH GROUP PRIVATE PRACTICE PLLC

Practice address

14211 SW 120TH St
# 107
Miami, FL 33186

Phone

(917) 592-2345

NPI assigned

Mar 20, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Freire, LMHC

Title

Owner

Phone

(917) 592-2345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1679374243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHARLTON ST APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144917",
            "telephone_number": "917-592-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14211 SW 120TH ST",
            "address_2": "# 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "917-592-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH GROUP PRIVATE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "FREIRE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-592-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.