Active NPI
Leslie J. Gorman-Anich, LMHC
- Counseling Psychologist
- Panama City, FL
National Provider Identifier
1063669075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- MH 9512
- Practice address
- 105 Jazz Dr
Panama City, FL 32405-4906 - Phone
- (850) 522-9719
- Fax
- (850) 522-9718
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | MH 9512 | FL | Primary |
Addresses
Primary practice location
105 Jazz Dr
Panama City, FL 32405-4906
Mailing address
117 Treasure Palm Dr
Panama City Beach, FL 32408-7718
Phone (540) 226-1879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH 9512 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 9512 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1063669075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TREASURE PALM DR",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324087718",
"telephone_number": "540-226-1879",
"fax_number": "850-522-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 JAZZ DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054906",
"telephone_number": "850-522-9719",
"fax_number": "850-522-9718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN-ANICH",
"first_name": "LESLIE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "MH 9512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH COUNSELOR",
"identifier": "MH 9512",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.