Individual provider Active NPI

India Bass, M.S.

  • Mental Health Counselor
  • North Miami, FL
National Provider Identifier
1992183529
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14057 Issued in FL
Practice address
12635 NE Miami CT
North Miami, FL 33161
Phone
(305) 527-3567
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14057 FL Primary
Mental Health Counselor 101YM0800X IMH 11363 FL

Addresses

Primary practice location

12635 NE Miami CT
North Miami, FL 33161

Mailing address

12635 NE Miami CT
North Miami, FL 33161-4558
Phone (305) 527-3567

Other practice location 1

2835 Hollywood Blvd
Hollywood, FL 33020-4235
Phone (954) 929-7243

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

LicenseStateTypeSpecialty
IMH 11363FLMDMental Health Counselor
MH14057FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health in Color, Inc Current 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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1992183529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 NE MIAMI CT",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614558",
            "telephone_number": "305-527-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 NE MIAMI CT",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33161",
            "telephone_number": "305-527-3567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330204235",
            "country_code": "US",
            "telephone_number": "954-929-7243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "INDIA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14057",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 11363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.