Active NPI
Bout Me Healing
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1760242192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BOUT ME HEALING
- Practice address
- 9858 Clint Moore Rd Ste C111-202
Boca Raton, FL 33496-1034 - Phone
- (786) 472-0220
- NPI assigned
- Mar 21, 2024
- Last updated
- Mar 21, 2024
- 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
- Cice Rivera Gonzalez, CAP
- Title
- Ceo/MNG
- Phone
- (786) 472-0220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
9858 Clint Moore Rd Ste C111-202
Boca Raton, FL 33496-1034
Mailing address
9858 Clint Moore Rd Ste C111-202
Boca Raton, FL 33496-1034
Phone (786) 472-0220
National Provider Directory
National Provider Directory- Tax ID family
- Bout Me Healing
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Boca Raton, FL
- NPI 1093307720
-
- Professional Counselor
- Boca Raton, FL
- NPI 1386404713
Locations
9858 Clint Moore Rd
Ste C111202
Boca Raton, FL 33496
Phone (786) 472-0220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1760242192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9858 CLINT MOORE RD STE C111-202",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961034",
"telephone_number": "786-472-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9858 CLINT MOORE RD STE C111-202",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961034",
"telephone_number": "786-472-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUT ME HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "RIVERA GONZALEZ",
"authorized_official_first_name": "CICE",
"authorized_official_title_or_position": "CEO/MNG",
"authorized_official_telephone_number": "786-472-0220",
"authorized_official_credential": "CAP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.