Individual provider Active NPI

Stephanie Wernberg, MA, LMHC, NCC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1407610595
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23317 Issued in FL
Practice address
1505 Orchid Ave
Winter Park, FL 32789-5649
Phone
(407) 717-8245
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23317 FL Primary

Addresses

Primary practice location

1505 Orchid Ave
Winter Park, FL 32789-5649

Mailing address

7532 Azurebrook CT
Winter Park, FL 32792-8702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 3, 2024 through Dec 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH23317FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilderheart Therapy LLC CurrentSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1407610595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 AZUREBROOK CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-717-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNBERG",
        "first_name": "STEPHANIE",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.