Organization Active NPI

Client Support Alliance, LLC.

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1982080677
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC8687 Issued in FL
Legal business name
CLIENT SUPPORT ALLIANCE, LLC.
Practice address
2450 SW 137TH Ave
Suite 235
Miami, FL 33175-8802
Phone
(786) 234-9166
NPI assigned
Aug 4, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Christine Serra
Title
Manager
Phone
(786) 234-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC8687 FL Primary

Addresses

Primary practice location

2450 SW 137TH Ave
Suite 235
Miami, FL 33175-8802

Mailing address

2450 SW 137TH Ave
Suite 235
Miami, FL 33175-8802

Other identifiers 1

IdentifierTypeStateIssuer
597120MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1982080677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE",
            "address_2": "SUITE 235",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE",
            "address_2": "SUITE 235",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758802",
            "telephone_number": "786-234-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIENT SUPPORT ALLIANCE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-234-9166"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597120",
            "state": "FL"
        }
    ],
    "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 Aug 13, 2015; 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.