Stuart Mental Health and Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW11131 Issued in FL

Legal business name

STUART MENTAL HEALTH AND WELLNESS, LLC

Practice address

1207 SW Sunset TRL
Palm City, FL 34990-3342

Phone

(772) 486-7249

Fax

(833) 485-0447

NPI assigned

Mar 7, 2018

Last updated

Aug 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Fitzgerald Hellmann, LCSWNPI 1003120668

Title

Owner

Phone

(772) 486-7249

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, and the practitioner matching its NPPES authorized official.

• Carolyn Fitzgerald Hellmann, LCSW

  • Clinical Social Worker
  • Palm City, FL
  • NPI 1003120668
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1871095513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349910118",
            "telephone_number": "772-763-9540",
            "fax_number": "844-296-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 SW SUNSET TRL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903342",
            "telephone_number": "772-486-7249",
            "fax_number": "833-485-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "HELLMANN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-486-7249",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW11131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Palm City, FL
• Providers in Palm City, 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 19, 2021; 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.