Personal Wellness Solutions, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PERSONAL WELLNESS SOLUTIONS, LLC

Doing business as

PERSONAL WELLNESS SOLUTIONS

Practice address

550 N Reo St Ste 240
Tampa, FL 33609-1062

Phone

(813) 435-3060

Fax

(813) 435-2345

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Alicia Divico, LMHCNPI 1013251180

Title

Owner

Phone

(813) 435-3060

Specialties & licenses 1

Addresses

Other names 1

• PERSONAL WELLNESS SOLUTIONS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Anne Divico, LMHC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1013251180
  Medicare reassignment NPD Authorized official
• Deepa Dasani, LMHC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1891968715
  Medicare reassignment NPD
• Kelly Lane, LMHC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1225594005
  Medicare reassignment NPD
• Abbe Cheryl Cotter, MSW

  • Social Worker
  • Tampa, FL
  • NPI 1811142631
  Medicare reassignment
• Matilde Fonseca, LMHC

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1639721517
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1639851512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N REO ST STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091062",
            "telephone_number": "813-435-3060",
            "fax_number": "813-435-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N REO ST STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091062",
            "telephone_number": "813-435-3060",
            "fax_number": "813-435-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "DIVICO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-435-3060",
        "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": [
        {
            "organization_name": "PERSONAL WELLNESS SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri Persinger, CPNP
• Tracy C. Person, DOULA
• Personal Growth Therapy Center LLC
• Personal Medical Center, Inc.
• Personal Rehabilitation Center Inc
• Personal Wellness Solutions, P.a.
• Perspective Solutions LLC
• Pertpetual Health Assisted Living Facility, LLC
• Vanessa Sofia Pertuz
• Karen Perusse

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.