Active NPI
Get Psyched Behavioral Health Services
- Mental Health Counselor
- Lutz, FL
National Provider Identifier
1124556840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12739
- Legal business name
- GET PSYCHED BEHAVIORAL HEALTH SERVICES
- Practice address
- 4929 Van Dyke Rd
Lutz, FL 33558-4813 - Phone
- (813) 360-3569
- NPI assigned
- May 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline Anne Gibb, M.S.
- Title
- President
- Phone
- (813) 360-3569
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12739 | FL | Primary |
Addresses
Primary practice location
4929 Van Dyke Rd
Lutz, FL 33558-4813
Mailing address
15210 Amberly Drive
#625
Tampa, FL 33647
Phone (813) 360-3569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12739 | Other | FL | REGISTERED MENTAL HEALTH INTERN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1124556840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15210 AMBERLY DRIVE",
"address_2": "#625",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-360-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4929 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335584813",
"telephone_number": "813-360-3569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GET PSYCHED BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-24",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "GIBB",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-360-3569",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "12739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED MENTAL HEALTH INTERN",
"identifier": "12739",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutz, 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.