Unified Counseling & Mediation PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY 8192 Issued in FL

Legal business name

UNIFIED COUNSELING & MEDIATION PLLC

Practice address

7451 Riviera Blvd Ste 120
Miramar, FL 33023-6569

Phone

(305) 918-2588

Fax

(305) 974-1360

NPI assigned

Oct 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Cassaundra Tennille WimesNPI 1841483062

Title

Psychologist

Phone

(305) 918-2588

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassaundra Tennille Wimes, PHD

  • Psychologist
  • Miramar, FL
  • NPI 1841483062
  Authorized official Same address or phone
• Kery Cerne Constantin, LMHC

  • Mental Health Counselor
  • North Miami Beach, FL
  • NPI 1164055547
  NPD (past)

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682726400000",
    "number": "1932484466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 RIVIERA BLVD STE 120",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236569",
            "telephone_number": "305-918-2588",
            "fax_number": "305-974-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 RIVIERA BLVD STE 120",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236569",
            "telephone_number": "305-918-2588",
            "fax_number": "305-974-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED COUNSELING & MEDIATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-16",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "WIMES",
        "authorized_official_first_name": "CASSAUNDRA",
        "authorized_official_middle_name": "TENNILLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-918-2588",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY 8192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013070800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.dropbox.com/home/Cassaundra%20Wimes/Unified%20Counseling%20and%20Mediation/Medical%20Records",
            "affiliation": "N",
            "endpointDescription": "Medical Records Folder",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cloud Storage",
            "address_1": "7451 Riviera Blvd Ste 120",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330236569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; 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.