Individual provider Active NPI

Gayle D McNeill, L.M.H.C

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1063787562
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 6612 Issued in FL
Practice address
11254 58TH St N
Pinellas Park, FL 33782-2213
Phone
(727) 545-6477
Fax
(727) 507-4722
NPI assigned
Mar 16, 2012
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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 MH 6612 FL Primary

Addresses

Primary practice location

11254 58TH St N
Pinellas Park, FL 33782-2213

Mailing address

11254 58TH St N
Pinellas Park, FL 33782-2213
Phone (727) 545-6477

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
MH 6612FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1063787562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 58TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822213",
            "telephone_number": "727-545-6477",
            "fax_number": "727-507-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 58TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822213",
            "telephone_number": "727-545-6477",
            "fax_number": "727-507-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "GAYLE",
        "middle_name": "D",
        "credential": "L.M.H.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.