Individual provider Active NPI

Vanouche Gervais, NCC, LMHC, MS

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1922517739
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21024 Issued in FL
Practice address
7971 Riviera Blvd Ste 316
Miramar, FL 33023-6448
Phone
(305) 570-4064
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT3214 FL
Mental Health Counselor 101YM0800X MH21024 FL Primary

Addresses

Primary practice location

7971 Riviera Blvd Ste 316
Miramar, FL 33023-6448

Mailing address

1123 NW 118TH St
Miami, FL 33168-6238
Phone (904) 226-0015

Other practice location 1

440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Phone (954) 745-1112

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH21024FLMDMental Health Counselor
IMT3214FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1922517739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 NW 118TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331686238",
            "telephone_number": "904-226-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 316",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236448",
            "telephone_number": "305-570-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Sawgrass Corporate Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333256236",
            "country_code": "US",
            "telephone_number": "954-745-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "VANOUCHE",
        "credential": "NCC, LMHC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3214",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 2, 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.