Organization Active NPI

Mental Health Wellness LLC

  • Family Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1154212819
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MENTAL HEALTH WELLNESS LLC
Practice address
509 8TH Ave W Ste 100
Palmetto, FL 34221-5153
Phone
(941) 304-7001
Fax
(941) 200-4130
NPI assigned
Jul 11, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Meshandra WilliamsNPI 1366923393
Title
Owner
Phone
(941) 304-7001

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
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

509 8TH Ave W Ste 100
Palmetto, FL 34221-5153

Mailing address

509 8TH Ave W Ste 100
Palmetto, FL 34221-5153
Phone (941) 304-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117000014 FL Part B Supplier - Clinic/Group Practice 2163913351 Receives reassigned benefits from 1 practitioner
Practice locations: Palmetto, FL

National Provider Directory

National Provider Directory

Locations

509 8th Ave W
Ste 100
Palmetto, FL 34221
Phone (941) 304-7001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1154212819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 8TH AVE W STE 100",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215153",
            "telephone_number": "941-304-7001",
            "fax_number": "941-200-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 8TH AVE W STE 100",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215153",
            "telephone_number": "941-304-7001",
            "fax_number": "941-200-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MESHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-304-7001"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.