Untamed Therapy and Consulting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UNTAMED THERAPY AND CONSULTING

Practice address

3321 Del Prado Blvd S Ste 12
Cape Coral, FL 33904-7263

Phone

(941) 876-8033

Fax

(239) 439-7822

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Rae Brooks, LMHCNPI 1154992873

Title

LMHC

Phone

(239) 404-5222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jessica Rae Brooks, LMHC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1154992873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1720811557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S STE 12",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "941-876-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S STE 12",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "941-876-8033",
            "fax_number": "239-439-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTAMED THERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "239-404-5222",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Teledoc Inc
• Universal Home Health Services Corp
• Universe Home Health Center Corp
• Universe Wellness Center,Corp
• Univv 3 Inc (Cape Coral Pharmacy)
• Up Behavior LLC
• Monika Urbanska, M.A. ART THERAPIST
• Urgent Care Center of Southwest Florida LLC
• Urology Associates of Southwest Florida PL
• Malerie Urquiola

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, 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 Jan 14, 2025; 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.