Leticia Freeland Grove, M.A., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9752 Issued in FL

Practice address

16500 Panama City Beach Pkwy
Suite a
Panama City Beach, FL 32413-2251

Phone

(850) 291-1344

Fax

(850) 250-5759

NPI assigned

May 27, 2009

Sex

Female

Sole proprietor

Yes

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 NC

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Psychological Fitness Associates, LLC

  dba PsychFitness

  • Mental Health Counselor
  • Panama City Beach, FL
  • NPI 1295079416

  NC

  Medicare reassignment NPD Authorized official
• Psychological Fitness Associates, LLC

  • Mental Health Counselor
  • Panama City Beach, FL
  • NPI 1538472485
  NPD Authorized official

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1063647618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19974 FRONT BEACH RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324134431",
            "telephone_number": "850-291-1344",
            "fax_number": "850-250-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 PANAMA CITY BEACH PKWY",
            "address_2": "SUITE A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132251",
            "telephone_number": "850-291-1344",
            "fax_number": "850-250-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "LETICIA",
        "middle_name": "FREELAND",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralee Greer
• Jeffrey Tyler Gregory, DC
• Amanda Marie Gresham, IBCLC
• Keely Marie Grice
• John William Griffiths
• Caitlyn Carpenter Guettler, APRN
• Doug Guilbault
• Gulf Coast Dermatology & Skin Care Centre PLLC
• Pamela R H Guoth, M.D.
• Gysi Arnp Services PLLC

• Mental Health Counselor in Panama City Beach, FL
• Providers in Panama City Beach, 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 Apr 29, 2013; 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.