Amanda Lyn Wendle, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH20141 Issued in FL

Practice address

1801 Crystal Lake Dr
Lakeland, FL 33801-5979

Phone

(863) 709-8543

Fax

(863) 688-2520

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri County Human Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1164485074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1003577412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 COPPERSTONE CIR",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338608605",
            "telephone_number": "863-614-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-709-8543",
            "fax_number": "863-688-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLE",
        "first_name": "AMANDA",
        "middle_name": "LYN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH20141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Wells, PTA
• L'Shantey Wells, PHARM.D.
• Samantha Welmaker
• Delaney Welter
• Wendell O Blake MD PA
• Paula P Wengerski, PA-C
• Madelyn Elizabeth Wengyn, OTD
• Ronald Edward Wentworth II
• Matthew B Werd, DPM
• Alec Werthman

• Professional Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.