CRYSTAL MINDS MEDICAL GROUP
NPI 1932780590
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since April 15, 2021
8370 W FLAGLER ST STE 242, MIAMI, FL 33144(786) 321-1600(786) 744-7937 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2024, Sep 4, 2024, May 18, 2023 and 2 more (5 updates tracked since 2021).

About Crystal Minds Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL MINDS MEDICAL GROUP (NPI 1932780590) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since April 2021. The organization lists Enio Reyes Miranda, Owner, as its authorized official.

NPPES Registry Identity

NPI1932780590
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCRYSTAL MINDS MENTAL HEALTH, LLC
Location Address8370 W FLAGLER ST STE 242Miami, FL 33144-2040
Mailing Address1315 Sw 94th CtMiami, FL 33174-3072 · (786) 307-1876
Fax(786) 744-7937
Organization SubpartNo
Authorized OfficialEnio Reyes MirandaOwner · (786) 321-1600
Enumeration DateApril 15, 2021
Last NPPES UpdateDecember 13, 20245 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1932780590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
8370 W FLAGLER ST STE 242, Miami, FL 33144

Other Names 1

Doing Business AsCrystal Minds Medical Group

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

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)

Crystal Minds Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crystal Minds Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1114237252
8370 W FLAGLER ST STE 242
Miami, FL 33144
(786) 321-1600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659739886
291 SW 27TH AVE
Miami, FL 33135
(305) 858-1828
✔ PECOS✔ Accepts Medicare5.8 mi

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 10D2312187

Crystal Minds Mental Health LLC · Miami, FL
Expired · Oct 6, 2026
CLIA Number10D2312187
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorEnio Reyes Miranda
Laboratory Phone(786) 321-1600
Laboratory LocationCrystal Minds Mental Health LLC8370 W Flagler St 242, Miami, FL 33144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Crystal Minds Mental Health, LLC's NPI number?

The NPI number for Crystal Minds Mental Health, LLC is 1932780590. It was assigned to this organization in the NPPES registry on April 15, 2021. The provider is doing business as Crystal Minds Medical Group.

Where is Crystal Minds Mental Health, LLC located?

Crystal Minds Mental Health, LLC is located at 8370 W Flagler St Ste 242, Miami, FL 33144. The listed phone number is (786) 321-1600.

What is Crystal Minds Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystal Minds Mental Health, LLC enrolled in Medicare?

Yes. Crystal Minds Mental Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal Minds Mental Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Crystal Minds Mental Health, LLC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crystal Minds Mental Health, LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Crystal Minds Mental Health, 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 Crystal Minds Mental Health, LLC was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.