NPIMap

Organization Active NPI

L.I.F.E Center for Healing & Growth Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1740793868
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
L.I.F.E CENTER FOR HEALING & GROWTH INC.
Practice address
12360 SW 132ND CT Ste 113
Miami, FL 33186-6461
Phone
(305) 588-4143
NPI assigned
Nov 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Jenny Silverio, LMHCNPI 1912256397
Title
President/Ceo
Phone
(786) 587-9631

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH13383 FL
Community/Behavioral Health Agency 251S00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

12360 SW 132ND CT Ste 113
Miami, FL 33186-6461

Mailing address

12360 SW 132ND CT Ste 113
Miami, FL 33186-6461

Other identifiers 1

IdentifierTypeStateIssuer
022983800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207000833 FL Part B Supplier - Clinic/Group Practice 5890138812 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12855 SW 136th Ave
Ste 107
Miami, FL 33186
Phone (305) 213-2573

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1740793868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 SW 132ND CT STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 SW 132ND CT STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866461",
            "telephone_number": "305-588-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.F.E CENTER FOR HEALING & GROWTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SILVERIO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "786-587-9631",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13383",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022983800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12360 SW 132nd Ct Ste 113",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866461",
            "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 Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.