Mindful Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFUL THERAPY LLC

Practice address

770 Ponce de Leon Blvd Ste 307
Coral Gables, FL 33134-2069

Phone

(786) 344-8757

Fax

(786) 221-4447

NPI assigned

May 31, 2018

Organization subpart

No

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

Authorized official

Name

Lecsy Tania HernandezNPI 1912345141

Title

Ceo /Executive Director

Phone

(786) 344-8757

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lecsy Tania Hernandez

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1912345141
  Medicare reassignment Care Compare group NPD Authorized official
• Anakarla Tamayo

  • Mental Health Counselor
  • Hialeah, FL
  • NPI 1306506464
  Medicare reassignment Care Compare group NPD
• Alberto Ignacio Rando Sous, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1326571142
  Medicare reassignment
• Ranses Hernandez Pacheco, RBT

  • Behavior Technician
  • Coral Gables, FL
  • NPI 1306735493
  NPD
• Philip Crouse

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1528631843
  NPD (past)
• Julio Juan Sanchez

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1669978318
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1972095412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PONCE DE LEON BLVD STE 307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342069",
            "telephone_number": "786-344-8757",
            "fax_number": "786-221-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PONCE DE LEON BLVD STE 307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342069",
            "telephone_number": "786-344-8757",
            "fax_number": "786-221-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LECSY",
        "authorized_official_middle_name": "TANIA",
        "authorized_official_title_or_position": "CEO /EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "786-344-8757"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15891",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya M Miller
• James Milliken
• Anna Presley Mills, LMFT
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• Casey Mineros
• Minimally Invasive Spine Center of South Florida, LLC
• Oscar Emilio Minoso Y de Cal, M.D.
• Mint Center LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.