Active NPI
Denise Wegerif, LMHC, LMFT
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1144066895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH19362
- Practice address
- 8249 Devereux Dr Ste 101
Melbourne, FL 32940-7955 - Phone
- (321) 259-1662
- Fax
- (321) 779-7729
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT4094 | FL | |
| Mental Health Counselor | 101YM0800X | MH19362 | FL | Primary |
Addresses
Primary practice location
8249 Devereux Dr Ste 101
Melbourne, FL 32940-7955
Mailing address
8249 Devereux Dr Ste 101
Melbourne, FL 32940-7955
Phone (321) 259-1662
Other practice location 1
200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389
Phone (321) 259-1662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH19362 | FL | MD | Mental Health Counselor |
| MT4094 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livewell Integrative Health Corp | Mental Health | Current | Accepting new patients |
Locations
8249 Devereux Dr
Ste 101
Melbourne, FL 32940
Phone (321) 259-1662
200 S Harbor City Blvd
Ste 401
Melbourne, FL 32901
Phone (321) 259-1662
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": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1144066895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8249 DEVEREUX DR STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407955",
"telephone_number": "321-259-1662",
"fax_number": "321-779-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8249 DEVEREUX DR STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407955",
"telephone_number": "321-259-1662",
"fax_number": "321-779-7729"
}
],
"practiceLocations": [
{
"address_1": "200 S Harbor City Blvd Ste 401",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329011389",
"country_code": "US",
"telephone_number": "321-259-1662",
"fax_number": "321-779-7729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEGERIF",
"first_name": "DENISE",
"credential": "LMHC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4094",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH19362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.