NPIMap

Organization Active NPI

Peace of Mind Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
National Provider Identifier
1932614799
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH13706 Issued in FL
Legal business name
PEACE OF MIND MENTAL HEALTH, INC.
Practice address
18901 SW 106TH Ave Ste 224
Cutler Bay, FL 33157-7665
Phone
(786) 732-0071
Fax
(305) 964-5435
NPI assigned
Dec 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Monica M Fuentes, LMHCNPI 1265861462
Title
President
Phone
(786) 732-0071

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH13706 FL Primary

Addresses

Primary practice location

18901 SW 106TH Ave Ste 224
Cutler Bay, FL 33157-7665

Mailing address

18901 SW 106TH Ave Ste 224
Cutler Bay, FL 33157-7665
Phone (786) 732-0071

Other identifiers 2

IdentifierTypeStateIssuer
011938200MedicaidFL
111593000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213003669 FL Part B Supplier - Clinic/Group Practice 5991159725 Receives reassigned benefits from 1 practitioner
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
Peace of Mind Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18901 SW 106th Ave
Ste 213
Cutler Bay, FL 33157
Phone (786) 732-0071

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1932614799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 224",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577665",
            "telephone_number": "786-732-0071",
            "fax_number": "305-964-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 224",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577665",
            "telephone_number": "786-732-0071",
            "fax_number": "305-964-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-732-0071",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MH13706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011938200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111593000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.