Individual provider Active NPI

Alyssa Marie Gavulic Howk, PHD, LMHC-S, LMFT-S

  • Mental Health Counselor
  • Niceville, FL
National Provider Identifier
1104357730
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14913 Issued in FL
Practice address
1415 Partin Dr N
Niceville, FL 32578-1460
Phone
(850) 460-7771
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3274 FL
Mental Health Counselor 101YM0800X 14913 FL Primary

Addresses

Primary practice location

1415 Partin Dr N
Niceville, FL 32578-1460

Mailing address

1415 Partin Dr N
Niceville, FL 32578-1460
Phone (850) 460-7771

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14913FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Omnia Trauma Healing LLC Mental Health CurrentSince May 21, 2023 Accepting new patients
Crosspoint United Methodist Church Inc Mental Health PastSince Oct 2, 2022 Accepting new patients

Locations

1415 Partin Dr N
Niceville, FL 32578
Phone (850) 460-7771

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1104357730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PARTIN DR N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781460",
            "telephone_number": "850-460-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PARTIN DR N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781460",
            "telephone_number": "850-460-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVULIC HOWK",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC-S, LMFT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "3274",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.