Active NPI
Corrine Faye Buchanan, PH.D., LMHC, LMFT
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1104546423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH19538
- Practice address
- 2601 NW 23Rd Blvd Apt 134
Gainesville, FL 32605-5952 - Phone
- (386) 212-0874
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C9869 | OR | |
| Marriage & Family Therapist | 106H00000X | MT5112 | FL | |
| Mental Health Counselor | 101YM0800X | MH19538 | FL | Primary |
Addresses
Primary practice location
2601 NW 23Rd Blvd Apt 134
Gainesville, FL 32605-5952
Mailing address
7901 4TH St N Ste 8198
St Petersburg, FL 33702-4305
Phone (386) 212-0874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH19538 | FL | MD | Mental Health Counselor |
| C9869 | OR | MD | Mental Health Counselor |
| MT5112 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1104546423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 8198",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "386-212-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 NW 23RD BLVD APT 134",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326055952",
"telephone_number": "386-212-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "CORRINE",
"middle_name": "FAYE",
"name_prefix": "Dr.",
"credential": "PH.D., LMHC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C9869",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT5112",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH19538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.