Organization Active NPI

Concept House, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Miami, FL
National Provider Identifier
1790722031
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
1113AD381002 Issued in FL
Legal business name
CONCEPT HOUSE, INC.
Practice address
3180 Biscayne Blvd
Miami, FL 33137-4127
Phone
(305) 751-6501
Fax
(305) 756-8906
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Matthew Gissen, JD, LMHC
Title
President
Phone
(305) 751-6501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1113AD381002 FL
Children's Substance Abuse Rehabilitation Facility 3245S0500X 1113AD381002 FL Primary

Addresses

Primary practice location

3180 Biscayne Blvd
Miami, FL 33137-4127

Mailing address

162 NE 49TH St
Miami, FL 33137-3118
Phone (305) 751-6501

National Provider Directory

National Provider Directory

Locations

162 NE 49th St
Miami, FL 33137

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790722031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 NE 49TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373118",
            "telephone_number": "305-751-6501",
            "fax_number": "305-756-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374127",
            "telephone_number": "305-751-6501",
            "fax_number": "305-756-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GISSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-751-6501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, LMHC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1113AD381002",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "FL",
            "license": "1113AD381002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 11, 2025; 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.