Gwendolyn Beatrice Constantino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23003 Issued in FL

Practice address

10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561

Phone

(904) 277-0027

NPI assigned

Nov 16, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL HMO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO C-SNP

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group NPD
• Owimast Health LLC

  dba Ellie Mental Health

  • Marriage & Family Therapist
  • Jacksonville, FL
  • NPI 1417609645
  Medicare reassignment NPD
• GBC Mental Health & Wellness LLC

  • Public Health or Welfare Agency
  • Ponte Vedra Beach, FL
  • NPI 1922814508
  NPD Authorized official
• Florida Psychological & Associated Healthcare

  • Psychologist
  • Fernandina Beach, FL
  • NPI 1326419029
  NPD (past)
• Florida Psychological Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernandina, FL
  • NPI 1922496850
  NPD (past)

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1003681412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COLIMA CT UNIT 924",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823253",
            "telephone_number": "386-793-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 CENTURION PKWY N STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560561",
            "telephone_number": "904-277-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "GWENDOLYN",
        "middle_name": "BEATRICE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consolidated Pharmacy Services, Inc
• Constance L Cooper PA
• Kaitlin Brooke Constantin, ARNP
• Janet Dianne Constantine, LMHC CET II
• Peter Constantinides, PA-C
• Osvaldo Contarini, MD
• Laura Contess
• Jennifer Contin, MD
• Continuum of Care Adult Day & in-Home Services, Inc.
• Continuum of Care Adult Day & in-Home Services, Inc.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.