Organization Active NPI

Wiregrass Counseling, PLLC

  • Mental Health Counselor
  • Wesley Chapel, FL
National Provider Identifier
1083414254
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WIREGRASS COUNSELING, PLLC
Practice address
3848 Flatiron Loop Unit 102
Wesley Chapel, FL 33544-7825
Phone
(813) 777-3872
Fax
(813) 864-6731
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Mrs. Shabana Mandviwala Churruca, LMHC, CAPNPI 1407095235
Title
Owner/Psychotherapist
Phone
(813) 777-3872

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3848 Flatiron Loop Unit 102
Wesley Chapel, FL 33544-7825

Mailing address

1443 Bent Tree Dr
Wesley Chapel, FL 33543-6459
Phone (813) 777-3872

National Provider Directory

National Provider Directory

Locations

3848 Flatiron Loop
Unit 102
Wesley Chapel, FL 33544
Phone (813) 648-7220

Practitioners & affiliated clinicians

Practitioners 1

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": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1083414254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 BENT TREE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436459",
            "telephone_number": "813-777-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FLATIRON LOOP UNIT 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447825",
            "telephone_number": "813-777-3872",
            "fax_number": "813-864-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "CHURRUCA",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_middle_name": "MANDVIWALA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "813-777-3872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.