Organization Active NPI

Higher Ground Wellness LLC

  • Mental Health Counselor
  • Ruskin, FL
National Provider Identifier
1700512217
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HIGHER GROUND WELLNESS LLC
Practice address
720 Ocean Spray Dr
Ruskin, FL 33570-2043
Phone
(727) 877-6434
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Mrs. Nichole White CoyneNPI 1003252529
Title
Employee
Phone
(561) 350-6272

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

720 Ocean Spray Dr
Ruskin, FL 33570-2043

Mailing address

720 Ocean Spray Dr
Ruskin, FL 33570-2043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240203000059 FL Part B Supplier - Clinic/Group Practice 6507209830 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1700512217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OCEAN SPRAY DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OCEAN SPRAY DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702043",
            "telephone_number": "727-877-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER GROUND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "561-350-6272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.