ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC
NPI 1851051262
Counselor - Mental Health in Miami, FL

Q: What is Energy Community Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since December 27, 2021CLIA 10D2310673 · Waiver

4995 NW 72ND AVE, MIAMI, FL 33166(786) 360-3584(786) 360-3867 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1851051262) is a healthcare organization registered as a mental health in Miami, Florida and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Ernesto Rodriguez Tanquero, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1851051262

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameENERGY COMMUNITY MENTAL HEALTH CLINIC LLC

Location Address4995 NW 72ND AVEMiami, FL 33166-5643

Mailing Address4995 Nw 72nd AveMiami, FL 33166-5643 · (786) 360-3584 · Fax (786) 360-3867

Phone(786) 360-3584

Fax(786) 360-3867

Organization SubpartNo

Authorized OfficialErnesto Rodriguez TanqueroAuthorized Official · (786) 520-0140

Enumeration DateDecember 27, 2021

NPPES CertifiedDecember 27, 2021

✔ NPI 1851051262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4995 NW 72ND AVE, Miami, FL 33166

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Other Identifiers 1

Medicaid112486800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, FL

Active · expires Sep 8, 2026

CLIA Number10D2310673

Laboratory TypePhysician Office

Certificate Effective DateSeptember 9, 2024

Certificate Expiration DateSeptember 8, 2026

Laboratory DirectorMichael Siuta

Laboratory Phone(786) 360-3584

Laboratory LocationEnergy Community Mental Health Clinic LLC Dba Energy Medical Center4995 NW 72nd Ste 102, Miami, FL 33166

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL CENTER OF DORAL

Specialist

4995 NW 72ND AVE
MIAMI, FL 33166

Miami-Dade County (305) 477-4049

JUBER IMAGING INC

Clinic/Center (Radiology, Mobile)

4995 NW 72ND AVE, SUITE 303 A
MIAMI, FL 33166

Miami-Dade County (305) 406-2131

DR. WILLIAM ROJAS D.C.

Chiropractor

4995 NW 72ND AVE, SUITE # 405
MIAMI, FL 33166

Miami-Dade County (305) 994-9474

ADISLEY DIAZ P.D

Clinic/Center (Rehabilitation)

4995 NW 72ND AVE, 409
MIAMI, FL 33166

Miami-Dade County (305) 599-5258

D AND A THERAPY CENTER

Contractor

4995 NW 72ND AVE
MIAMI, FL 33166

Miami-Dade County (305) 468-1927

K&S PHYSICAL GROUP CORP

Rehabilitation Unit

4995 NW 72ND AVE, 204
MIAMI, FL 33166

Miami-Dade County (305) 463-9167

GOOD LIFE MEDICAL CENTER INC.

Clinic/Center (Physical Therapy)

4995 NW 72ND AVE, 410
MIAMI, FL 33166

Miami-Dade County (305) 599-5258

CARE PRO D & D INC.

Day Training, Developmentally Disabled Services

4995 NW 72ND AVE, STE 203
MIAMI, FL 33166

Miami-Dade County (305) 888-9877

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 Energy Community Mental Health Clinic LLC's NPI number?

The NPI number for Energy Community Mental Health Clinic LLC is 1851051262. It was assigned to this organization in the NPPES registry on December 27, 2021.

Where is Energy Community Mental Health Clinic LLC located?

Energy Community Mental Health Clinic LLC is located at 4995 NW 72nd Ave, Miami, FL 33166. The listed phone number is (786) 360-3584.

What is Energy Community Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Energy Community Mental Health Clinic LLC was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.