Spiritual Connection Outreach Community Center of South Florida

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA

Practice address

5975 W Sunrise BVLD
Suite 210
Plantation, FL 33313-1663

Phone

(917) 567-0530

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Joann Raiola, CBHCMSNPI 1619623451

Title

Cfo

Phone

(917) 567-0530

Specialties & licenses 4

Addresses

Practitioners 1

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

• Joann Raiola

  • Case Manager/Care Coordinator
  • Delray Beach, FL
  • NPI 1619623451

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1982489449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 W OAKLAND PARK BLVD APT 112",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131664",
            "telephone_number": "917-567-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BVLD",
            "address_2": "SUITE 210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333131663",
            "telephone_number": "917-567-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL CONNECTION OUTREACH COMMUNITY CENTER OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "RAIOLA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-567-0530",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Plantation, FL
• Providers in Plantation, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.