Active NPI
Vania Mercedes Simon, M.S., LMHC-QS
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1972806461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10238
- Practice address
- 10671 N Kendall Dr
Miami, FL 33176-1510 - Phone
- (786) 416-0811
- Fax
- (786) 558-5483
- NPI assigned
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MH10238 | FL | |
| Foster Care Agency | 253J00000X | MH10238 | FL | |
| Mental Health Counselor | 101YM0800X | MH10238 | FL | Primary |
Addresses
Primary practice location
10671 N Kendall Dr
Miami, FL 33176-1510
Mailing address
10671 N Kendall Dr
Miami, FL 33176-1510
Phone (786) 416-0811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH10838 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@allwellnesscenter.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10238 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minding the Gap, Inc | Mental Health | Current | Accepting new patients |
| All Wellness Community Center Inc | Mental Health | Past | Accepting new patients |
Locations
10671 SW 88th St
Miami, FL 33176
Phone (786) 416-0811
9425 Sunset Dr
Ste 251
Miami, FL 33173
Phone (305) 205-8467
10671 SW 88th St
Ste 5D
Miami, FL 33176
Phone (786) 416-0811
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1053902767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1972806461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10671 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761510",
"telephone_number": "786-416-0811",
"fax_number": "786-558-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10671 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761510",
"telephone_number": "786-416-0811",
"fax_number": "786-558-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "VANIA",
"middle_name": "MERCEDES",
"name_prefix": "Mrs.",
"credential": "M.S., LMHC-QS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "MH10238",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "FL",
"license": "MH10238",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "MH10838",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@allwellnesscenter.net",
"affiliation": "N",
"endpointDescription": "email through URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10671 N Kendall Dr",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331761510",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.