Individual provider Active NPI

Julian Enrique Vives, M.S., NCC, RMHCI

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1922415504
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
140 NW 59TH St
Miami, FL 33127-1218
Phone
(305) 759-8888
NPI assigned
Jul 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

140 NW 59TH St
Miami, FL 33127-1218

Mailing address

6100 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2079
Phone (305) 398-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Pathway to Purpose Therapy, Inc. Mental Health CurrentSince Jan 31, 2021 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients
Banyan Community Health Center, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

1375 Gateway Blvd
Ste 20
Boynton Beach, FL 33426
Phone (561) 424-6920

Interoperability endpoints

  • Direct secure messaging: julianvives@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1922415504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262079",
            "telephone_number": "305-398-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NW 59TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271218",
            "telephone_number": "305-759-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVES",
        "first_name": "JULIAN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "M.S., NCC, RMHCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 17, 2015; 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.