Organization Active NPI

Counseling Solutions of Broward, LLC

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1942771464
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNSELING SOLUTIONS OF BROWARD, LLC
Practice address
11322 Miramar Pkwy # 142
Miramar, FL 33025-5805
Phone
(954) 610-1125
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Enid De JesusNPI 1336689454
Title
Owner/ LMHC
Phone
(954) 610-1125

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11322 Miramar Pkwy # 142
Miramar, FL 33025-5805

Mailing address

11322 Miramar Pkwy # 142
Miramar, FL 33025-5805
Phone (954) 610-1125

National Provider Directory

National Provider Directory

Locations

7451 Riviera Blvd
Ste 133
Miramar, FL 33023

11322 Miramar Pkwy
#142
Miramar, FL 33025
Phone (954) 610-1125

Practitioners & affiliated clinicians

Practitioners 1

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": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1942771464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11322 MIRAMAR PKWY # 142",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255805",
            "telephone_number": "954-610-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11322 MIRAMAR PKWY # 142",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255805",
            "telephone_number": "954-610-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SOLUTIONS OF BROWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "OWNER/ LMHC",
        "authorized_official_telephone_number": "954-610-1125"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 25, 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.