Nutegra Mental Health and Nutrition Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NUTEGRA MENTAL HEALTH AND NUTRITION INC

Practice address

260 NW Peacock Blvd Ste 102
Port St Lucie, FL 34986-2349

Phone

(941) 787-3525

Fax

(941) 257-5550

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Chrisanna G Wright, LMHCNPI 1871777599

Title

President

Phone

(941) 787-3525

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Chrisanna G Wright, LMHC,RD/LD

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1871777599
  Medicare reassignment Authorized official
• Judith Dragon, ARNP

  • Nurse Practitioner
  • Punta Gorda, FL
  • NPI 1174535595
  NPD (past)
• Samuel Viloria Estepa, M.D.

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1346261377
  NPD (past)
• Kristin L Jones, LCSW

  • Clinical Social Worker
  • Port Charlotte, FL
  • NPI 1942565155
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1801066873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HUNTER CREEK DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339821135",
            "telephone_number": "941-740-0193",
            "fax_number": "941-257-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NW PEACOCK BLVD STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862349",
            "telephone_number": "941-787-3525",
            "fax_number": "941-257-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTEGRA MENTAL HEALTH AND NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CHRISANNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-787-3525",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "FL",
            "license": "ND 2695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "N0250",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Victoria Notman-Michel, PA-C
• November & Associates Speech-Language & Developmental Center, Inc.
• Rosemarie November, M.A., CCC-SLP
• NS Medical Associates
• Valerie Alicia Nunez
• Nutrition Clinic LLC
• Michael Joseph O'Donnell
• Amanda O'Hara
• Oasis Chiropractic and Wellness Inc
• Oasis of Growth Behavioral Services LLC

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, 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 Mar 28, 2024; 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.