Active NPI
Concept House, Inc.
- Children's Substance Abuse Rehabilitation Facility
- Miami, FL
National Provider Identifier
1790722031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- License
- 1113AD381002
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Miami, FL
- NPI 1982000980
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.