Individual provider Active NPI

Denise Wegerif, LMHC, LMFT

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1144066895
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19362 Issued in FL
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

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH19362FLMDMental Health Counselor
MT4094FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Integrative Health Corp Mental Health CurrentSince Jul 7, 2024 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.

Verify at the official NPI Registry.