Organization Active NPI

Wilson Community Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opa Locka, FL
National Provider Identifier
1740757467
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILSON COMMUNITY HEALTH CORPORATION
Practice address
780 Fisherman St
Opa Locka, FL 33054-3806
Phone
(786) 398-1511
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Mrs. Jasmeka Monae Wilson, LMFTNPI 1477035319
Title
Ceo
Phone
(786) 398-1511

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

780 Fisherman St
Opa Locka, FL 33054-3806

Mailing address

18135 NW 25TH CT
Miami Gardens, FL 33056-3632
Phone (786) 398-1511

National Provider Directory

National Provider Directory

Locations

780 Fisherman St
Opa Locka, FL 33054
Phone (786) 398-1511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1740757467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18135 NW 25TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563632",
            "telephone_number": "786-398-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543806",
            "telephone_number": "786-398-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COMMUNITY HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASMEKA",
        "authorized_official_middle_name": "MONAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-398-1511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.