Active NPI
Wilson Community Health Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Opa Locka, FL
National Provider Identifier
1740757467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jasmeka Monae Wilson, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.