ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC
NPI 1295310514
Family Medicine in Miami, FL
About Energy Community Mental Health Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC (NPI 1295310514) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2028, maintains a secondary practice location in Hialeah, and lists Ernesto Rodriguez Tanquero, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Energy Community Mental Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Energy Community Mental Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2310673
Energy Community Mental Health Clinic LLC Dba Energy Medical Center · Miami, FLFrequently 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 Energy Community Mental Health Clinic LLC's NPI number?
The NPI number for Energy Community Mental Health Clinic LLC is 1295310514. It was assigned to this organization in the NPPES registry on March 17, 2021.
Where is Energy Community Mental Health Clinic LLC located?
Energy Community Mental Health Clinic LLC is located at 4995 NW 72nd Ave Ste 102, Miami, FL 33166. The listed phone number is (786) 227-2966.
What is Energy Community Mental Health Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Energy Community Mental Health Clinic LLC enrolled in Medicare?
Yes. Energy Community Mental Health Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Energy Community Mental Health Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Energy Community Mental Health Clinic LLC, in Clinical Social Worker, Family Practice and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Energy Community Mental Health Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2310673) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Energy Community Mental Health Clinic LLC accept?
Health plans from AmeriHealth Caritas Next and Molina Healthcare list Energy Community Mental Health Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Energy Community Mental Health Clinic LLC was last updated on November 21, 2023. 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.
# Energy Community Mental Health Clinic Llc · NPI 1295310514
Family Medicine organization in Miami, Florida. Organization record, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1295310514 (Entity type: Organization)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ernesto Rodriguez Tanquero, PRESIDENT
## Practice location
- **Address:** 4995 NW 72ND AVE STE 102, Miami, FL 33166-5643
- **Phone:** (786) 227-2966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Family Practice (1), Nurse Practitioner (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295310514) · Data from the CMS NPPES public registry.