Wanda Gayle Austin, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10105 Issued in FL

Practice address

11599 Seminole Blvd
Largo, FL 33778-3205

Phone

(727) 418-9296

Fax

(727) 585-8061

NPI assigned

Feb 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Empowerment Counseling Corporation

  • Mental Health Counselor
  • Largo, FL
  • NPI 1548598311
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1205158979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CARA DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711027",
            "telephone_number": "727-586-4741",
            "fax_number": "727-585-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11599 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783205",
            "telephone_number": "727-418-9296",
            "fax_number": "727-585-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "WANDA",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Innovations, Inc.
• Kerry Selmyhr Auld
• William Haynie Ausmus, PA
• Christine Aust
• Alison Austin
• Erica Avallone, M.S.
• Irwin Ira Ayes, D.P.M.
• Jay Barry Azneer, DO
• Bryan Allan Bacher, L.M.H.C.
• Back in Balance Nutrition LLC (BodyPure Functional Nutrition)

• Mental Health Counselor in Largo, FL
• Providers in Largo, 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 Mar 29, 2010; 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.