Organization Active NPI

Certus Counseling Center, LLC

Doing business as Owner/Member

  • Clinical Social Worker
  • Weeki Wachee, FL
National Provider Identifier
1356964928
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CERTUS COUNSELING CENTER, LLC
Doing business as
Owner/Member
Practice address
18166 Parrot Rd
Weeki Wachee, FL 34614-0318
Phone
(727) 378-2287
Fax
(727) 645-4798
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Nancy Ann Pena, LCSW
Title
Owner/Member
Phone
(580) 917-1379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

18166 Parrot Rd
Weeki Wachee, FL 34614-0318

Mailing address

18166 Parrot Rd
Weeki Wachee, FL 34614-0318
Phone (727) 378-2287

Other names 1

  • Owner/Member Doing business as

National Provider Directory

National Provider Directory

Locations

15249 Amberly Dr
Ste 1
Tampa, FL 33647
Phone (813) 461-7500

1046 W Busch Blvd
Ste 100B
Tampa, FL 33612
Phone (813) 524-7246

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1356964928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18166 PARROT RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346140318",
            "telephone_number": "727-378-2287",
            "fax_number": "727-645-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18166 PARROT RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346140318",
            "telephone_number": "727-378-2287",
            "fax_number": "727-645-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTUS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "580-917-1379",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owner/Member",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.