Organization Active NPI

Wonderfully Made, LLC

  • Mental Health Counselor
  • Summerfield, FL
National Provider Identifier
1306743471
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WONDERFULLY MADE, LLC
Practice address
10935 SE 177TH PL Ste 404-P1
Summerfield, FL 34491-8975
Phone
(352) 454-1542
NPI assigned
Oct 22, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Mrs. Hazel Jeanette Loera Alvarez, LMHCNPI 1497679682
Title
Owner
Phone
(352) 454-1542

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

10935 SE 177TH PL Ste 404-P1
Summerfield, FL 34491-8975

Mailing address

10935 SE 177TH PL Ste 404-P1
Summerfield, FL 34491-8975
Phone (352) 454-1542

National Provider Directory

National Provider Directory

Locations

10935 SE 177th Pl
Ste 404P1
Summerfield, FL 34491
Phone (352) 480-0722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1306743471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 SE 177TH PL STE 404-P1",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918975",
            "telephone_number": "352-454-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 SE 177TH PL STE 404-P1",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918975",
            "telephone_number": "352-454-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "LOERA ALVAREZ",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-454-1542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "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 Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.