Active NPI
Alyssa Marie Gavulic Howk, PHD, LMHC-S, LMFT-S
- Mental Health Counselor
- Niceville, FL
National Provider Identifier
1104357730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14913 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnia Trauma Healing LLC | Mental Health | Current | Accepting new patients |
| Crosspoint United Methodist Church Inc | Mental Health | Past | 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.
-
- Mental Health Counselor
- Niceville, FL
- NPI 1487355871
-
- Mental Health Counselor
- Niceville, FL
- NPI 1265156459
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.