Organization Active NPI

James Club Mental Health & Addiction Counseling Center, Inc

Doing business as James Club Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Wilton Manors, FL
National Provider Identifier
1770456725
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
JAMES CLUB MENTAL HEALTH & ADDICTION COUNSELING CENTER, INC
Doing business as
James Club Treatment Center
Practice address
2650 N Andrews Ave
Wilton Manors, FL 33311-2550
Phone
(954) 773-4700
NPI assigned
Sep 25, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Mrs. Tracey Vanessa Castillo
Title
Owner
Phone
(954) 856-3676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

2650 N Andrews Ave
Wilton Manors, FL 33311-2550

Mailing address

2650 N Andrews Ave
Wilton Manors, FL 33311-2550
Phone (954) 773-4700

Other names 1

  • James Club Treatment Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2333783James Club Treatment Center2650 N Andrews Ave, Wilton Manors, FL 33311Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Locations

2650 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 773-4700

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1770456725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112550",
            "telephone_number": "954-773-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112550",
            "telephone_number": "954-773-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES CLUB MENTAL HEALTH & ADDICTION COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-856-3676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Club Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.