Wellness With Wander, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WELLNESS WITH WANDER, LLC

Practice address

15135 Ogden Loop Ste 204
Odessa, FL 33556-4633

Phone

(412) 576-9304

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Judd, MS, LMHC, PMH-CNPI 1376150888

Title

Owner/Founder

Phone

(412) 576-9304

Specialties & licenses 1

Addresses

Locations

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.

• Jessica Lynn Judd, MS

  • Mental Health Counselor
  • Spring Hill, FL
  • NPI 1376150888
  NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1194547364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16316 DOVETAIL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346106512",
            "telephone_number": "412-576-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15135 OGDEN LOOP STE 204",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564633",
            "telephone_number": "412-576-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITH WANDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "412-576-9304",
        "authorized_official_credential": "MS, LMHC, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jara Weiss, RN
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• Madonna P Williams, OTR
• Samantha Daisy Williams

• Mental Health Counselor in Odessa, FL
• Providers in Odessa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.