Organization Active NPI

Wonderland Consulting and Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
National Provider Identifier
1881347458
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WONDERLAND CONSULTING AND COUNSELING SERVICES LLC
Practice address
5471 W Waters Ave Ste 300
Tampa, FL 33634-1253
Phone
(813) 512-6147
Fax
(813) 512-6129
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Priscilla E Molina, LMFT
Title
Manager
Phone
(917) 858-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5471 W Waters Ave Ste 300
Tampa, FL 33634-1253

Mailing address

5471 W Waters Ave Ste 300
Tampa, FL 33634-1253
Phone (813) 512-6147

Other identifiers 1

IdentifierTypeStateIssuer
1871550509MedicaidFL

Other names 1

  • Wonderland Consulting and Counseling Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5471 W Waters Ave
Ste 300
Tampa, FL 33634
Phone (813) 328-4120

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1881347458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 W WATERS AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341253",
            "telephone_number": "813-512-6147",
            "fax_number": "813-512-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 W WATERS AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341253",
            "telephone_number": "813-512-6147",
            "fax_number": "813-512-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERLAND CONSULTING AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-858-2003",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871550509",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderland Consulting and Counseling Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.