Active NPI
Congruence Counseling and Mediation PLLC
- Mental Health Counselor
- Palm Coast, FL
National Provider Identifier
1194604306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Redwine, LMHC/LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Palm Coast, FL
- NPI 1366035362
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.