CONGRUENCE COUNSELING AND MEDIATION PLLC
NPI 1194604306
Counselor - Mental Health in Palm Coast, FL

Active since September 01, 2025
4873 PALM COAST PKWY NW UNIT 2, PALM COAST, FL 32137(862) 438-7325 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Congruence Counseling And Mediation Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONGRUENCE COUNSELING AND MEDIATION PLLC (NPI 1194604306) is a healthcare organization registered as a mental health in Palm Coast, Florida and active in the NPI registry since September 2025. The organization lists Amanda Redwine, Owner, as its authorized official.

NPPES Registry Identity

NPI1194604306
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCONGRUENCE COUNSELING AND MEDIATION PLLC
Location Address4873 PALM COAST PKWY NW UNIT 2Palm Coast, FL 32137-3669
Mailing AddressPo Box 352237Palm Coast, FL 32135-2237 · (862) 438-7325
Organization SubpartNo
Authorized OfficialAmanda RedwineOwner · (862) 438-7325
Enumeration DateSeptember 1, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1194604306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4873 PALM COAST PKWY NW UNIT 2, Palm Coast, FL 32137

Other Names 1

Other NameCongruence Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Congruence Counseling And Mediation Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Congruence Counseling And Mediation PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1366035362
4873 PALM COAST PKWY NW UNIT 2
Palm Coast, FL 32137
(862) 438-7325
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1679230643
1400 OLD DIXIE HWY FL 32084
St Augustine, FL 32084
(904) 829-2273
✔ PECOS23 mi
Mental Health Counselor
NPI 1700473519
3890 DUNN AVE
Jacksonville, FL 32218
(904) 765-0665
✔ PECOS67 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Congruence Counseling And Mediation PLLC's NPI number?

The NPI number for Congruence Counseling And Mediation PLLC is 1194604306. It was assigned to this organization in the NPPES registry on September 1, 2025. The provider is also known as Congruence Counseling.

Where is Congruence Counseling And Mediation PLLC located?

Congruence Counseling And Mediation PLLC is located at 4873 Palm Coast Pkwy NW Unit 2, Palm Coast, FL 32137. The listed phone number is (862) 438-7325.

What is Congruence Counseling And Mediation PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Congruence Counseling And Mediation PLLC enrolled in Medicare?

Yes. Congruence Counseling And Mediation PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Congruence Counseling And Mediation PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Congruence Counseling And Mediation PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Congruence Counseling And Mediation PLLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.