Organization Active NPI

Wyndbeach Counseling LLC

  • Mental Health Counselor
  • Sun City Center, FL
National Provider Identifier
1689992729
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW5030 Issued in FL
Legal business name
WYNDBEACH COUNSELING LLC
Practice address
1304 Warwick CT
Sun City Center, FL 33573-5418
Phone
(813) 401-7452
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Wendy Burkhard, LCSW
Title
Manager
Phone
(813) 401-7452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X SW5030 FL Primary

Addresses

Primary practice location

1304 Warwick CT
Sun City Center, FL 33573-5418

Mailing address

1304 Warwick CT
Sun City Center, FL 33573-5418
Phone (813) 401-7452

National Provider Directory

National Provider Directory

Locations

137 S Pebble Beach Blvd
#200
Sun City Center, FL 33573
Phone (813) 401-7452

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1689992729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 WARWICK CT",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735418",
            "telephone_number": "813-401-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WARWICK CT",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735418",
            "telephone_number": "813-401-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDBEACH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "BURKHARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-401-7452",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.