Organization Active NPI

Balanced Therapy Minds, Inc

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1811511686
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BALANCED THERAPY MINDS, INC
Practice address
14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600
Phone
(786) 333-2975
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Jenny Coello, LMHC, BCBA
Title
Clinical Director
Phone
(786) 333-2975

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X

Addresses

Primary practice location

14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600

Mailing address

14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600
Phone (786) 333-2975

Other names 1

  • Balanced Therapy Minds, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1811511686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 350",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161600",
            "telephone_number": "786-333-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 350",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161600",
            "telephone_number": "786-333-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED THERAPY MINDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "COELLO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "786-333-2975",
        "authorized_official_credential": "LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Therapy Minds, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.