Individual provider Active NPI

Laura Ann Klinefelter, MHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1982948816
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ICH-8552 Issued in FL
Practice address
1514 NW 2ND Ave., Suite #1
The Sundari Foundation, Inc.
Miami, FL 33136
Phone
(305) 438-0556
Fax
(305) 438-0557
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ICH-8552 FL Primary

Addresses

Primary practice location

1514 NW 2ND Ave., Suite #1
The Sundari Foundation, Inc.
Miami, FL 33136

Mailing address

1514 NW 2ND Ave., Suite #1
The Sundari Foundation, Inc.
Miami, FL 33136
Phone (305) 438-0556

Other identifiers 1

IdentifierTypeStateIssuer
810652266OtherFLCOMMERCIAL

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

State licenses

LicenseStateTypeSpecialty
ICH-8552FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sundari Foundation, Inc. PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1982948816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 NW 2ND AVE., SUITE #1",
            "address_2": "THE SUNDARI FOUNDATION, INC.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-438-0556",
            "fax_number": "305-438-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 NW 2ND AVE., SUITE #1",
            "address_2": "THE SUNDARI FOUNDATION, INC.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-438-0556",
            "fax_number": "305-438-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINEFELTER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ICH-8552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "810652266",
            "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 Nov 16, 2012; 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.