Organization Active NPI

Mentallyu Therapy

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1265202683
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTALLYU THERAPY
Practice address
5535 Grand Blvd Ste a
New Port Richey, FL 34652-3843
Phone
(352) 269-5598
Fax
(813) 618-5022
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Wandaliz MarreroNPI 1083125934
Title
LMHC/Owner
Phone
(352) 269-5598

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

5535 Grand Blvd Ste a
New Port Richey, FL 34652-3843

Mailing address

4698 Mariner Blvd
Spring Hill, FL 34609-1945
Phone (352) 269-5598

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1265202683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091945",
            "telephone_number": "352-269-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 GRAND BLVD STE A",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523843",
            "telephone_number": "352-269-5598",
            "fax_number": "813-618-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALLYU THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "WANDALIZ",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "352-269-5598"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.