Organization Active NPI

One More Light Counseling & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tavares, FL
National Provider Identifier
1073295259
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ONE MORE LIGHT COUNSELING & WELLNESS LLC
Practice address
819 W Main St Ste a
Tavares, FL 32778-3131
Phone
(321) 800-8439
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Authorized official

Name
Joseph Ryan Caggiano, MSFP, MSWNPI 1649940834
Title
Co-Owner
Phone
(321) 800-8439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

819 W Main St Ste a
Tavares, FL 32778-3131

Mailing address

201 Windemere Ave
Eustis, FL 32726-5536
Phone (321) 800-8439

National Provider Directory

National Provider Directory

Locations

2200 S Bay St
Ste A
Eustis, FL 32726
Phone (352) 483-1466

819 W Main St
#A
Tavares, FL 32778
Phone (321) 800-8439

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706313600000",
    "number": "1073295259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WINDEMERE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265536",
            "telephone_number": "321-800-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W MAIN ST STE A",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783131",
            "telephone_number": "321-800-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MORE LIGHT COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "CAGGIANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "321-800-8439",
        "authorized_official_credential": "MSFP, MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; 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.