Individual provider Active NPI

Wiliette Sejour-Thelismon, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1730622879
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20243 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1730622879OtherFLMENTAL HEALTH THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wiliette@threeheartbeatscounselingservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220713001383 FL Practitioner - Clinical Social Worker 2860873528 Reassigns benefits to 4 organizations
I20251209004383 IN Practitioner - Clinical Social Worker 2860873528 Reassigns benefits to 1 organization

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
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

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

LicenseStateTypeSpecialty
PSW1194FLMDClinical Social Worker
SW20243FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Mar 5, 2025 Accepting new patients
Author Health Professionals, PC CurrentSince Sep 5, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 30, 2022 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.

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

Verify at the official NPI Registry.