Individual provider Active NPI

David Gulden, LMHC,MCAP,NCC

  • Addiction (Substance Use Disorder) Counselor
  • Maitland, FL
National Provider Identifier
1063931566
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MH14683 Issued in FL
Practice address
100 E Sybelia Ave Ste 250
Maitland, FL 32751-4774
Phone
(407) 613-5555
NPI assigned
Sep 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH14683 FL Primary

Addresses

Primary practice location

100 E Sybelia Ave Ste 250
Maitland, FL 32751-4774

Mailing address

100 E Sybelia Ave Ste 250
Maitland, FL 32751-4774

Other identifiers 1

IdentifierTypeStateIssuer
OPTIONALOtherOPTIONAL

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
MH14683FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1063931566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514774",
            "telephone_number": "407-613-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULDEN",
        "first_name": "DAVID",
        "credential": "LMHC,MCAP,NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH14683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIONAL",
            "identifier": "OPTIONAL",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.