Wolcott Counseling & Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WOLCOTT COUNSELING & WELLNESS, LLC

Practice address

2830 NW 41St St Ste J
Gainesville, FL 32606-6667

Phone

(352) 363-1998

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Lisa R Wolcott, MSW, LCSW

Title

Chief Executive Officer & Owner

Phone

(352) 363-1998

Specialties & licenses 1

Addresses

Other names 1

• Wolcott Psychotherapy Associates, LLC Former legal business name

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1790331569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 NW 41ST ST STE J",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066667",
            "telephone_number": "352-363-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 NW 41ST ST STE J",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066667",
            "telephone_number": "352-363-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLCOTT COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER & OWNER",
        "authorized_official_telephone_number": "352-363-1998",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolcott Psychotherapy Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ronald Wohl, ARNP
• Maria P. Wojtalewicz, PH.D.
• Anita Wokhlu, MD
• Natasha Wokosky
• Adam Wolach
• Kristin Mara Wolcott Farese, LCSW
• Lisa R Wolcott
• Abhimanyu D Wolf, LMHC
• Christian Donald Wolf, ARNP
• Emily Wolf

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Aug 16, 2019; 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.