Active NPI
Play and Wellness Center of Gainesville
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1902280357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Owens Chance, ED.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Gainesville, FL
- NPI 1316214265
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
- Jeffrey Mark Plante, DO
- Aowyn Plants, LMT
- Sunshine Plants, OTR, CLT, CLVT
- Platinum Health and Wellness LLC
- Kevin Matthew Platt, PA-C
- Play to Grow Speech Therapy LLC
- Plaza Healthcare and Rehabilitation Center LLC (The Plaza Health and Rehab Center)
- Maritza Annette Plaza-Verduin
- Eric Pleace, L.M.H.C.
- Angie Grace Pleitez
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.