Integrative Mental Health Group, PLLC
NPI 1205585114ActiveOrganization· Social Worker, Clinical· Pembroke Pines, FL
Social Worker, Clinical in Pembroke Pines, Florida, registered in NPPES in March 2022. The authorized official on file is Emmanuette Johnson, LCSW, Mental Health Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205585114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2022 |
| Last updated in NPPES | Mar 20, 2022 |
| Certified by provider | Mar 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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