Individual provider Active NPI

Laura Beth Wenger

  • Mental Health Counselor
  • Palm City, FL
National Provider Identifier
1881507564
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH29883 Issued in FL
Practice address
2169 SW Olympic Club Ter
Palm City, FL 34990-6043
Phone
(772) 215-7079
NPI assigned
Sep 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH29883 FL Primary

Addresses

Primary practice location

2169 SW Olympic Club Ter
Palm City, FL 34990-6043

Mailing address

2169 SW Olympic Club Ter
Palm City, FL 34990-6043
Phone (772) 215-7079

Other practice location 1

613 SW Camden Ave
Stuart, FL 34994-2924
Phone (772) 800-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1881507564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 SW OLYMPIC CLUB TER",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906043",
            "telephone_number": "772-215-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 SW OLYMPIC CLUB TER",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906043",
            "telephone_number": "772-215-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 SW Camden Ave",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942924",
            "country_code": "US",
            "telephone_number": "772-800-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGER",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH29883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.