Organization Active NPI

De-Stressing Minds LLC

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1902534589
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DE-STRESSING MINDS LLC
Practice address
3625 NW 82ND Ave Ste 309
Doral, FL 33166-7601
Phone
(786) 444-1735
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Mr. Shane Wilson, MSNPI 1164182135
Title
LMHC
Phone
(786) 444-1735

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 1

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

Addresses

Primary practice location

3625 NW 82ND Ave Ste 309
Doral, FL 33166-7601

Mailing address

7777 SW 86 St BLDG. F1 Apt. 212
Miami, FL 33143
Phone (786) 444-1735

Other practice location 1

7777 SW 86 St BLDG. F1 Apt. 212
Miami, FL 33143
Phone (786) 444-1735

National Provider Directory

National Provider Directory

Locations

3625 NW 82nd Ave
Ste 309
Doral, FL 33166
Phone (305) 591-7303

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": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1902534589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SW 86 ST BLDG. F1 APT. 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "786-444-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 309",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667601",
            "telephone_number": "786-444-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 SW 86 ST BLDG. F1 APT. 212",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "country_code": "US",
            "telephone_number": "786-444-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DE-STRESSING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "786-444-1735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.