Organization Active NPI

Mental Wellness Counseling LLC

  • Community/Behavioral Health Agency
  • Port Charlotte, FL
National Provider Identifier
1902305881
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL WELLNESS COUNSELING LLC
Practice address
1680 El Jobean Rd Ste 4
Port Charlotte, FL 33948-1204
Phone
(941) 979-0121
NPI assigned
Feb 6, 2018
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Ms. Daria Erdmann, M.A.NPI 1013469709
Title
LMHC, NCC
Phone
(941) 979-0121

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1680 El Jobean Rd Ste 4
Port Charlotte, FL 33948-1204

Mailing address

1680 El Jobean Rd Ste 4
Port Charlotte, FL 33948-1204
Phone (941) 979-0121

National Provider Directory

National Provider Directory

Locations

3400 Tamiami Trl
Ste 204
Port Charlotte, FL 33952
Phone (941) 629-0440

1680 El Jobean Rd
Ste 4
Pt Charlotte, FL 33948
Phone (941) 627-5414

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1902305881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 EL JOBEAN RD STE 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481204",
            "telephone_number": "941-979-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 EL JOBEAN RD STE 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481204",
            "telephone_number": "941-979-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "ERDMANN",
        "authorized_official_first_name": "DARIA",
        "authorized_official_title_or_position": "LMHC, NCC",
        "authorized_official_telephone_number": "941-979-0121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.