Wilderheart Therapy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WILDERHEART THERAPY LLC

Practice address

7532 Azurebrook CT
Winter Park, FL 32792-8702

Phone

(407) 717-8245

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie Wernberg, MA, LMHCNPI 1407610595

Title

Owner/Therapist

Phone

(407) 717-8245

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stephanie Wernberg, MA, LMHC, NCC

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1407610595
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1124856869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 AZUREBROOK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928702",
            "telephone_number": "407-717-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 AZUREBROOK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928702",
            "telephone_number": "407-717-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERHEART THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WERNBERG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "407-717-8245",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole-Sum Therapies Inc
• Elizabeth Ann Whooley, D.C.
• James Wilde, LCSW
• Maisha Wilder, RMHCI
• Tahnee Leclerc Wilder, M.S.SLP
• Molly F Wilhelm, ARNP
• Ryan Todd Wilkin, PA-C
• Jon Sharp Wilkins, D.D.S., M.S.D.,P.A.
• Sara Willenkin
• Richard K Willens, PSY.D

• Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.