MIND AND SOUL COUNSELING SERVICES CORP
NPI 1003667866
Marriage & Family Therapist in Miami, FL
About Mind And Soul Counseling Services Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND AND SOUL COUNSELING SERVICES CORP (NPI 1003667866) is a healthcare organization registered as a marriage & family therapist in Miami, Florida and active in the NPI registry since March 2024. The organization lists Orietta Bornacelly, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mind And Soul Counseling Services Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mind And Soul Counseling Services Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mind And Soul Counseling Services Corp's NPI number?
The NPI number for Mind And Soul Counseling Services Corp is 1003667866. It was assigned to this organization in the NPPES registry on March 29, 2024.
Where is Mind And Soul Counseling Services Corp located?
Mind And Soul Counseling Services Corp is located at 5125 SW 165th Ave, Miami, FL 33185. The listed phone number is (786) 479-3936.
What is Mind And Soul Counseling Services Corp's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mind And Soul Counseling Services Corp enrolled in Medicare?
Yes. Mind And Soul Counseling Services Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind And Soul Counseling Services Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Mind And Soul Counseling Services Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mind And Soul Counseling Services Corp was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mind And Soul Counseling Services Corp · NPI 1003667866
Marriage & Family Therapist organization in Miami, Florida. Organization record, active in the CMS NPPES registry since March 29, 2024.
## Identity
- **NPI:** 1003667866 (Entity type: Organization)
- **Enumerated:** March 29, 2024
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Organization subpart:** No
- **Authorized official:** Orietta Bornacelly, OWNER
## Practice location
- **Address:** 5125 SW 165TH AVE, Miami, FL 33185-5163
- **Phone:** (786) 479-3936
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003667866) · Data from the CMS NPPES public registry.