Active NPI
Kevin Wernham, LMHC
- Mental Health Counselor
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23679
- Practice address
- 525 Technology Park Ste 109
Lake Mary, FL 32746-7107 - Phone
- (407) 647-2346
- NPI assigned
- Jan 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH23679 | FL | Primary |
Addresses
Primary practice location
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Mailing address
11850 Cross Vine Dr
Riverview, FL 33579-4300
Phone (813) 679-0548
Other practice location 1
11850 Cross Vine Dr
Riverview, FL 33579-4300
Phone (813) 679-0548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 E Brandon Blvd
Suite 1And2
Brandon, FL 33511-5509
Phone (813) 403-4423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH15724 | FL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Luisa Vega DNP LLC | Single Specialty | Current | Accepting new patients |
Locations
1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423
525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1104457761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 CROSS VINE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335794300",
"telephone_number": "813-679-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-647-2346"
}
],
"practiceLocations": [
{
"address_1": "11850 Cross Vine Dr",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335794300",
"country_code": "US",
"telephone_number": "813-679-0548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERNHAM",
"first_name": "KEVIN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-31",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.