NPIMap

Organization Active NPI

Ascend Mind and Body of Wesley Chapel LLC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1902769193
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ASCEND MIND AND BODY OF WESLEY CHAPEL LLC
Practice address
832 S Florida Ave
Suite 1, 2ND Floor
Lakeland, FL 33801-5202
Phone
(813) 670-3005
Fax
(844) 548-7006
NPI assigned
Dec 4, 2025
Organization subpart
Yes
Parent organization
ASCEND MIND AND BODY OF WESLEY CHAPEL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Shauna Horn
Title
Director of Bus. Dev. & Ops
Phone
(656) 237-7722

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

832 S Florida Ave
Suite 1, 2ND Floor
Lakeland, FL 33801-5202

Mailing address

832 S Florida Ave
Lakeland, FL 33801-5202
Phone (813) 670-3005

National Provider Directory

National Provider Directory
Tax ID family
Ascend Mind Body of Wesley3 organizations share this tax ID, including this one
Part of
Ascend Mind Body of Wesley

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

832 S Florida Ave
Ste 1
Lakeland, FL 33801
Phone (813) 670-3005

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1902769193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "813-670-3005",
            "fax_number": "844-548-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE",
            "address_2": "SUITE 1, 2ND FLOOR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "813-670-3005",
            "fax_number": "844-548-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND MIND AND BODY OF WESLEY CHAPEL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCEND MIND AND BODY OF WESLEY CHAPEL LLC",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "DIRECTOR OF BUS. DEV. & OPS",
        "authorized_official_telephone_number": "656-237-7722"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.