Organization Active NPI

Play and Wellness Center of Gainesville

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1902280357
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12711 Issued in FL
Legal business name
PLAY AND WELLNESS CENTER OF GAINESVILLE
Practice address
2114 NW 40TH Ter
B4
Gainesville, FL 32605-3593
Phone
(352) 448-9087
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Kristina Owens Chance, ED.S.NPI 1316214265
Title
President
Phone
(352) 448-9087

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH12711 FL Primary

Addresses

Primary practice location

2114 NW 40TH Ter
B4
Gainesville, FL 32605-3593

Mailing address

2114 NW 40TH Ter
B4
Gainesville, FL 32605-3593

National Provider Directory

National Provider Directory

Locations

2114 NW 40th Ter
Ste B4
Gainesville, FL 32605
Phone (352) 448-9087

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1902280357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 NW 40TH TER",
            "address_2": "B4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 NW 40TH TER",
            "address_2": "B4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053593",
            "telephone_number": "352-448-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY AND WELLNESS CENTER OF GAINESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "OWENS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-448-9087",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.