Organization Active NPI

WTJ and Associates

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1851620926
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WTJ AND ASSOCIATES
Practice address
7551 Wiles Rd Ste 105a
Coral Springs, FL 33067-2064
Phone
(561) 797-0480
Fax
(754) 240-4953
NPI assigned
Dec 18, 2009
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
David D Hayward, LMHC MCAPNPI 1700237096
Title
President
Phone
(561) 797-0480

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 17-06-AD-747201 FL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1706AD747201 FL

Addresses

Primary practice location

7551 Wiles Rd Ste 105a
Coral Springs, FL 33067-2064

Mailing address

7551 Wiles Rd Ste 105a
Coral Springs, FL 33067-2064
Phone (561) 797-0480

Other identifiers 4

IdentifierTypeStateIssuer
14560OtherFLFLORIDA DEPARTMENT OF HEALTH
14555OtherFLFLORIDA DEPARTMENT OF HEALTH
12003683OtherFLCAQH
12003631OtherFLCAQH

Other names 1

  • Life Choice Aolutions, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Choice Aolutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 N Federal Hwy
Ste 21051
Boca Raton, FL 33431

7401 Wiles Rd
Ste 300
Coral Springs, FL 33067

7551 Wiles Rd
Ste 105A
Coral Springs, FL 33067
Phone (561) 797-0480

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1851620926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 WILES RD STE 105A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672064",
            "telephone_number": "561-797-0480",
            "fax_number": "754-240-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 WILES RD STE 105A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672064",
            "telephone_number": "561-797-0480",
            "fax_number": "754-240-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WTJ AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-797-0480",
        "authorized_official_credential": "LMHC MCAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "17-06-AD-747201",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD747201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "14560",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "14555",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12003683",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12003631",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choice Aolutions, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.