Active NPI
Anne Wedge-McMillen
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1710625603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 220 Lookout PL Ste 200
Maitland, FL 32751-8408 - Phone
- (321) 436-4485
- NPI assigned
- May 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
220 Lookout PL Ste 200
Maitland, FL 32751-8408
Mailing address
515 Berwick Dr
Winter Park, FL 32792-4710
Phone (321) 436-4485
Other practice location 1
2479 Aloma Ave
Winter Park, FL 32792-2541
Phone (321) 436-4485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1710625603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BERWICK DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924710",
"telephone_number": "321-436-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 LOOKOUT PL STE 200",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327518408",
"telephone_number": "321-436-4485"
}
],
"practiceLocations": [
{
"address_1": "2479 Aloma Ave",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327922541",
"country_code": "US",
"telephone_number": "321-436-4485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEDGE-MCMILLEN",
"first_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-22",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.