Active NPI
Presley Wilson
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1740015924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1395 Brickell Ave Ste 800
Miami, FL 33131-3302 - Phone
- (305) 204-3634
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1395 Brickell Ave Ste 800
Miami, FL 33131-3302
Mailing address
5126 Doliver Dr
Houston, TX 77056-2408
Phone (303) 250-7185
Other practice location 1
469 Fashion Ave Fl 12
New York, NY 10018-7620
Phone (917) 275-7622
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | presley@modernintimacy.com | Direct | Balestrieri Psychology Services, PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1740015924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 DOLIVER DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770562408",
"telephone_number": "303-250-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 BRICKELL AVE STE 800",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313302",
"telephone_number": "305-204-3634"
}
],
"practiceLocations": [
{
"address_1": "469 Fashion Ave Fl 12",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100187620",
"country_code": "US",
"telephone_number": "917-275-7622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "PRESLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "presley@modernintimacy.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Balestrieri Psychology Services, PA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9903 Santa Monica Blvd Ste 823",
"city": "Beverly Hills",
"state": "CA",
"country_code": "US",
"postal_code": "902121671",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 5, 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.