Organization Active NPI

Dade Family Counseling Community Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1932772993
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC
Practice address
10691 N Kendall Dr Ste 110
Miami, FL 33176-1596
Phone
(786) 548-1022
Fax
(786) 542-5326
NPI assigned
Jul 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Maria E Fields, LCSW
Title
Ceo
Phone
(305) 774-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10691 N Kendall Dr Ste 110
Miami, FL 33176-1596

Mailing address

1951 NW 17TH Ave
Miami, FL 33125-1547
Phone (305) 774-9570

Other identifiers 2

IdentifierTypeStateIssuer
101454OtherFLSECONDARY IDENTIFIER
075989902MedicaidFL

Other names 1

  • Dade Family Counseling community Mental health Center, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dade Family Counseling Community Mental Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1932772993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251547",
            "telephone_number": "305-774-9570",
            "fax_number": "305-774-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 N KENDALL DR STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761596",
            "telephone_number": "786-548-1022",
            "fax_number": "786-542-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-774-9570",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECONDARY IDENTIFIER",
            "identifier": "101454",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075989902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dade Family Counseling community Mental health Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dade Family Counseling community Mental health Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 29, 2021; 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.