Organization Active NPI

Congruence Counseling and Mediation PLLC

  • Mental Health Counselor
  • Palm Coast, FL
National Provider Identifier
1194604306
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONGRUENCE COUNSELING AND MEDIATION PLLC
Practice address
4873 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3669
Phone
(862) 438-7325
NPI assigned
Sep 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Amanda Redwine, LMHC/LCPCNPI 1366035362
Title
Owner
Phone
(862) 438-7325

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4873 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3669

Mailing address

PO Box 352237
Palm Coast, FL 32135-2237
Phone (862) 438-7325

Other names 1

  • Congruence Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1194604306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352237",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321352237",
            "telephone_number": "862-438-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373669",
            "telephone_number": "862-438-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRUENCE COUNSELING AND MEDIATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "REDWINE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-438-7325",
        "authorized_official_credential": "LMHC/LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Congruence Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.