Organization Active NPI

Three Twelve LLC

  • Psychologist
  • Windermere, FL
National Provider Identifier
1699668863
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THREE TWELVE LLC
Practice address
5057 Carillon LN
Windermere, FL 34786-3117
Phone
(515) 509-5670
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Christian Lance Wimmer, PHDNPI 1699668855
Title
Owner
Phone
(515) 509-5670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5057 Carillon LN
Windermere, FL 34786-3117

Mailing address

5057 Carillon LN
Windermere, FL 34786-3117
Phone (515) 509-5670

Other names 1

  • Three Twelve Counseling and Consulting Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1699668863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 CARILLON LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863117",
            "telephone_number": "515-509-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 CARILLON LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863117",
            "telephone_number": "515-509-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE TWELVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-509-5670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Twelve Counseling and Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.