Organization Active NPI

CPMH Professional Health Services

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1871744284
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2679592 Issued in FL
Legal business name
CPMH PROFESSIONAL HEALTH SERVICES
Doing business as
NONE
Practice address
2845 SW 176TH Ter
Miramar, FL 33029-5556
Phone
(954) 895-1465
Fax
(954) 433-3236
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mrs. Carol Choute Pierre, ARNP
Title
President
Phone
(954) 895-1465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2679592 FL Primary

Addresses

Primary practice location

2845 SW 176TH Ter
Miramar, FL 33029-5556

Mailing address

2845 SW 176TH Ter
Miramar, FL 33029-5556
Phone (954) 895-1465

Other identifiers 1

IdentifierTypeStateIssuer
308310100MedicaidFL

Other names 1

  • NONE 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": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1871744284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 SW 176TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295556",
            "telephone_number": "954-895-1465",
            "fax_number": "954-433-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 SW 176TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295556",
            "telephone_number": "954-895-1465",
            "fax_number": "954-433-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPMH PROFESSIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "CHOUTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-895-1465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "2679592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308310100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.