Phyllis Wesley, M.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH0004133 Issued in FL

Practice address

305 N Saint Clair Abrams Ave
Tavares, FL 32778-3064

Phone

(352) 742-0069

Fax

(352) 742-0755

NPI assigned

Sep 26, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043311657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N SAINT CLAIR ABRAMS AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783064",
            "telephone_number": "352-742-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N SAINT CLAIR ABRAMS AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783064",
            "telephone_number": "352-742-0069",
            "fax_number": "352-742-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "PHYLLIS",
        "credential": "M.S., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0004133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH PROVIDER #",
            "identifier": "134646",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER #",
            "identifier": "62-55531",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER #",
            "identifier": "180098",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE PROVIDER #",
            "identifier": "269950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Henry Weaver, D.O.
• Victoria Denise Weeks Evans, BEHAVIOR ANALYST
• Samuel Clayton Weeks Jr., BEHAVIOR TECHNICIAN
• Scott Wehrly, M.D.
• Wei Beyond Acupuncture LLC
• Burnette W. White, RPH
• Shalese White
• William Middleton, MD, Facs
• Eric Williams, MD
• Gregory Williams

• Mental Health Counselor in Tavares, FL
• Providers in Tavares, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.