Active NPI
New Life Community Mental
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1730141284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ME55324
- Legal business name
- NEW LIFE COMMUNITY MENTAL
- Practice address
- 1690 NW 19TH Ter
Miami, FL 33125-1593 - Phone
- (305) 325-8620
- Fax
- (305) 549-7229
- NPI assigned
- Apr 3, 2006
- 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
- David Edson
- Title
- President
- Phone
- (305) 325-8620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ME55324 | FL | Primary |
Addresses
Primary practice location
1690 NW 19TH Ter
Miami, FL 33125-1593
Mailing address
1690 NW 19TH Ter
Miami, FL 33125-1593
Phone (305) 325-8620
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730141284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 NW 19TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251593",
"telephone_number": "305-325-8620",
"fax_number": "305-549-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 NW 19TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251593",
"telephone_number": "305-325-8620",
"fax_number": "305-549-7229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE COMMUNITY MENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EDSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-325-8620"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "ME55324",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.