GP Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9077 Issued in FL

Legal business name

GP WELLNESS PLLC

Practice address

12230 Forest Hill Blvd
Suite 152
Wellington, FL 33414-5700

Phone

(561) 358-9414

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Graciela Perez, LICENCE MENTAL HEALTNPI 1740448455

Title

Licence Mental Health C

Phone

(561) 358-9414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Graciela Perez, LMHC

  • Mental Health Counselor
  • Wellington, FL
  • NPI 1740448455
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1679762413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 MIRAMONTES CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 FOREST HILL BLVD",
            "address_2": "SUITE 152",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145700",
            "telephone_number": "561-358-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "LICENCE MENTAL HEALTH C",
        "authorized_official_telephone_number": "561-358-9414",
        "authorized_official_credential": "LICENCE MENTAL HEALT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Talley Gordon
• Jason John Gorscak, MD
• Joshua Michael Gottsegen, M.D.
• Alia Goucher
• Deanna Goulet, APRN-BC
• Grace Home Based Health Services
• Graceful Way Counseling, LLC
• Lauren Virelles Granados, ARNP-BC
• Kelecia Grant, PHARMD
• Stephanie Michelle Grave de Peralta, MA CCC-SLP

• Mental Health Counselor in Wellington, FL
• Providers in Wellington, 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 Sep 16, 2011; 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.