Organization Active NPI

Elevated Society, Inc

  • Community/Behavioral Health Agency
  • Miami Gardens, FL
National Provider Identifier
1831638972
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELEVATED SOCIETY, INC
Practice address
20295 NW 2ND Ave Suite 302
Miami Gardens, FL 33169-2550
Phone
(305) 974-4426
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Nicole TaylorNPI 1184633224
Title
Director
Phone
(954) 496-6231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

20295 NW 2ND Ave Suite 302
Miami Gardens, FL 33169-2550

Mailing address

20295 NW 2ND Ave
Miami Gardens, FL 33169-2550
Phone (305) 974-4426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724000021 FL Part B Supplier - Clinic/Group Practice 1153775838 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory

Locations

20295 NW 2nd Ave
Ste 110
Miami Gardens, FL 33169
Phone (305) 974-4426

Practitioners & affiliated clinicians

Practitioners 2

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1831638972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20295 NW 2ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692550",
            "telephone_number": "305-974-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20295 NW 2ND AVE SUITE 302",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692550",
            "telephone_number": "305-974-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED SOCIETY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-496-6231"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.