Active NPI
Treasure Coast Medical Centers, LLC
- Community/Behavioral Health Agency
- Port St Lucie, FL
National Provider Identifier
1710723721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TREASURE COAST MEDICAL CENTERS, LLC
- Practice address
- 1801 SE Hillmoor Dr Ste C-110
Port St Lucie, FL 34952-7575 - Phone
- (305) 879-0565
- NPI assigned
- Jul 8, 2024
- 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
- Ms. Norialys Fumero, LMHC
- Title
- Clinical Director
- Phone
- (305) 879-0565
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1801 SE Hillmoor Dr Ste C-110
Port St Lucie, FL 34952-7575
Mailing address
1801 SE Hillmoor Dr Ste C-110
Port St Lucie, FL 34952-7575
Phone (305) 879-0565
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Port St Lucie, FL
- NPI 1720432131
-
- Psychiatry Physician
- Port St Lucie, FL
- NPI 1164706404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1710723721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR STE C-110",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527575",
"telephone_number": "305-879-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR STE C-110",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527575",
"telephone_number": "305-879-0565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE COAST MEDICAL CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "FUMERO",
"authorized_official_first_name": "NORIALYS",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "305-879-0565",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Treasure Coast Diagnostics LLC
- Treasure Coast Gi LLC
- Treasure Coast Health (Healthy Results)
- Treasure Coast Healthcare Associates,LLC
- Treasure Coast Medical and Holistic Care, LLC
- Treasure Coast Medical Management, LLC
- Treasure Coast Medicine LLC
- Treasure Coast Neurology West, LLC
- Treasure Coast Neuropsychology PA
- Treasure Coast Optical, Inc. (Dr. Tari Schmit)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.