Organization Active NPI

Healing Wounds Healthcare LLC

  • Mental Health Counselor
  • Clermont, FL
National Provider Identifier
1215679246
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING WOUNDS HEALTHCARE LLC
Practice address
1089 Chestnut St
Clermont, FL 34711-2828
Phone
(352) 499-1372
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Cherie Burgess, LMHCNPI 1639568736
Title
Owner
Phone
(352) 499-1372

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1089 Chestnut St
Clermont, FL 34711-2828

Mailing address

1089 Chestnut St
Clermont, FL 34711-2828
Phone (352) 499-1372

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240117004533 FL Part B Supplier - Clinic/Group Practice 7719339563 Receives reassigned benefits from 5 practitioners
Practice locations: Clermont, FL; Longwood, FL

National Provider Directory

National Provider Directory

Locations

15550 County Road 565A
Clermont, FL 34711
Phone (352) 499-1372

300 N Ronald Reagan Blvd
Ste 315
Longwood, FL 32750
Phone (352) 499-1372

Practitioners & affiliated clinicians

Practitioners 6

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1215679246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 CHESTNUT ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112828",
            "telephone_number": "352-499-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 CHESTNUT ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112828",
            "telephone_number": "352-499-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WOUNDS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-499-1372",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.