Organization Active NPI

Mamay in Bloom Counseling LLC

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1962992636
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAMAY IN BLOOM COUNSELING LLC
Practice address
13520 SW 152ND St Unit 771154
Miami, FL 33177-0160
Phone
(786) 465-3309
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Andrea Reyna Arauco, LCSWNPI 1497262760
Title
Therapist/Owner
Phone
(786) 465-3309

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13520 SW 152ND St Unit 771154
Miami, FL 33177-0160

Mailing address

13520 SW 152ND St Unit 771154
Miami, FL 33177-0160
Phone (786) 465-3309

National Provider Directory

National Provider Directory

Locations

13520 SW 152nd St
Unit 771154
Miami, FL 33177
Phone (786) 465-3309

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": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1962992636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 SW 152ND ST UNIT 771154",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770160",
            "telephone_number": "786-465-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 SW 152ND ST UNIT 771154",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770160",
            "telephone_number": "786-465-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMAY IN BLOOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ARAUCO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "REYNA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "786-465-3309",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2019; 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.