CJM Counseling and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CJM COUNSELING AND WELLNESS, LLC

Practice address

10380 SW Village Dr
Suite 111
Port Saint Lucie, FL 34987

Phone

(754) 400-0285

NPI assigned

Apr 12, 2024

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chontel A Johnson McCallum, LMHC

Title

Ceo

Phone

(754) 400-0285

Specialties & licenses 1

Addresses

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.

• Chontel A Johnson McCallum, LMHC

  • Mental Health Counselor
  • Port Saint Lucie, FL
  • NPI 1073060075
  NPD

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1609620012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE DR",
            "address_2": "SUITE 111",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "754-400-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE DR",
            "address_2": "SUITE 111",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "754-400-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJM COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "CHONTEL",
        "authorized_official_middle_name": "A JOHNSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-400-0285",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Christopher, IMH 9687
• Jade Chung, MS, LMHC
• Carly Yarexi Cifuentes Perez
• Jessica Ciufo
• Yolie Cius
• Chapelle Clark
• Ganiece Clark, PHLEBOTOMIST
• Kristina Clark, APRN
• Charmaine Tania Clarke, CASE MANAGER
• Edwin Russelle Clarke, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.