Active NPI
Wiliette Sejour-Thelismon, LCSW
- Clinical Social Worker
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW20243
- Practice address
- 10100 W Sample Rd Ste 300
Coral Springs, FL 33065-3973 - Phone
- (561) 244-2553
- Fax
- (561) 258-9123
- NPI assigned
- Nov 21, 2016
- Reactivated
- Dec 30, 2021
- Last updated
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | PSW1194 | FL | |
| Clinical Social Worker | 1041C0700X | SW20243 | FL | Primary |
Addresses
Primary practice location
10100 W Sample Rd Ste 300
Coral Springs, FL 33065-3973
Mailing address
10100 W Sample Rd Ste 300
Coral Springs, FL 33065-3973
Phone (561) 244-2553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730622879 | Other | FL | MENTAL HEALTH THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wiliette@threeheartbeatscounselingservices.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303
801 Shelby St
Suite 201
Indianapolis, IN 46203-1163
Phone (800) 423-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSW1194 | FL | MD | Clinical Social Worker |
| SW20243 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Author Health Professionals, PC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303
801 Shelby St
Indianapolis, IN 46203
Phone (317) 964-3308
47 High St
Medford, MA 02155
Phone (210) 213-3660
2700 Post Oak Blvd
Ste 2100
Houston, TX 77056
Networks
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Coral Springs, FL
- NPI 1336842293
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1730622879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 W SAMPLE RD STE 300",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653973",
"telephone_number": "561-244-2553",
"fax_number": "561-258-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 W SAMPLE RD STE 300",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653973",
"telephone_number": "561-244-2553",
"fax_number": "561-258-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEJOUR-THELISMON",
"first_name": "WILIETTE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"deactivation_date": "2020-10-30",
"reactivation_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "PSW1194",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW20243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH THERAPIST",
"identifier": "1730622879",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wiliette@threeheartbeatscounselingservices.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10100 W Sample Rd Ste 300",
"city": "Coral Springs",
"state": "FL",
"country_code": "US",
"postal_code": "330653973",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.