MILLENIUM CLINIC OF DADE, INC
NPI 1861843047
Counselor - Mental Health in Miami, FL

NPI Status: Active since June 28, 2016

Contact Information

500 NW 165TH ST
STE 206
MIAMI, FL
ZIP 33169
Phone: (786) 657-2272

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  • Organization
  • Counselor
  • Mental Health
  • CLIA Number: 10D2157147
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-30-2026

About MILLENIUM CLINIC OF DADE, INC

This page provides the complete NPI Profile along with additional information for Millenium Clinic Of Dade, Inc, a provider established in Miami, Florida operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1861843047 assigned on June 2016. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Millenium Clinic Of Dade, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kimberly Lynn Roberts Edm (Group Facilitator)

NPI
1861843047
Provider Name
MILLENIUM CLINIC OF DADE, INC
Entity Type
Organization
Location Address
500 NW 165TH ST STE 206 MIAMI, FL 33169
Location Phone
(786) 657-2272
Mailing Address
500 NW 165TH ST STE 206 MIAMI, FL 33169
Mailing Phone
(786) 657-2272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2016
Last Update Date
06-28-2016
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A mental health counselor like Millenium Clinic Of Dade, Inc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY LYNN ROBERTS EDM

Authorized Official Title
GROUP FACILITATOR
Authorized Official Phone
(718) 785-6367

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2157147
Facility Type
Practitioner Other
Certificate Effective Date
October 31, 2024
Certificate Expiration Date
October 30, 2026
Laboratory Director
FARID ASSOUAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Millenium Clinic Of Dade, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861843047, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 6 + 4 + 6 + 0 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1861843047.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
500 NW 165TH ST
MIAMI, FL 33169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861843047, enumerated as an "organization" on June 28, 2016.

The provider is located at 500 NW 165TH ST STE 206 MIAMI, FL 33169 and the phone number is (786) 657-2272.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.