Individual provider Active NPI

Robin Eugene Gipps, LMFT

  • Marriage & Family Therapist
  • Pembroke Pines, FL
National Provider Identifier
1164585238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT1666 Issued in FL
Practice address
18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1404
Phone
(954) 471-3372
Fax
(954) 441-3882
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT1666 FL Primary

Addresses

Primary practice location

18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1404

Mailing address

2149 NE 61St CT
Fort Lauderdale, FL 33308-2155
Phone (954) 471-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001401 FL Practitioner - Marriage and Family Therapist 4880039205 Practice locations: Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Nova Southeastern College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1408
Phone (954) 471-3372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Neuro-Behavioral Associates PA PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164585238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 NE 61ST CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082155",
            "telephone_number": "954-471-3372",
            "fax_number": "954-441-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD",
            "address_2": "SUITE 214",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291404",
            "telephone_number": "954-471-3372",
            "fax_number": "954-441-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPPS",
        "first_name": "ROBIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.