Individual provider Active NPI

Donald Adamson-Wanner, LICENSED MENTAL HEAL

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1992856264
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2308 Issued in FL
Practice address
648 SE 19TH Street
Ocala, FL 34471-5325
Phone
(352) 873-4447
Fax
(352) 873-4853
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 MH2308 FL Primary

Addresses

Primary practice location

648 SE 19TH Street
Ocala, FL 34471-5325

Mailing address

648 SE 19TH Street
Ocala, FL 34471-5325
Phone (352) 873-4447

Other identifiers 2

IdentifierTypeStateIssuer
MH2308OtherFLSTATE LICENSE
Z3613OtherFLFLORIDA BLUE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH2308FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wanners' Counseling Services, Inc Mental Health CurrentSince Oct 22, 2023 Accepting new patients

Locations

108 N Magnolia Ave
Ste 500B
Ocala, FL 34475
Phone (352) 873-4447

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1992856264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SE 19TH STREET",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715325",
            "telephone_number": "352-873-4447",
            "fax_number": "352-873-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 SE 19TH STREET",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715325",
            "telephone_number": "352-873-4447",
            "fax_number": "352-873-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON-WANNER",
        "first_name": "DONALD",
        "credential": "LICENSED MENTAL HEAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MH2308",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Z3613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.