Active NPI
Gregory Eugene Gast, MSLMHC
- Mental Health Counselor
- Crawfordville, FL
National Provider Identifier
1164745352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7039
- Practice address
- 3295 Crawfordville Hwy.
Suite 4
Crawfordville, FL 32327 - Phone
- (850) 271-8258
- Fax
- (850) 926-5295
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7039 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MH7039 | FL |
Addresses
Primary practice location
3295 Crawfordville Hwy.
Suite 4
Crawfordville, FL 32327
Mailing address
47 Saddletree Trail
Crawfordville, FL 32327
Phone (850) 271-8258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z026D | Other | FL | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1164745352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 SADDLETREE TRAIL",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "32327",
"telephone_number": "850-271-8258",
"fax_number": "850-926-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 CRAWFORDVILLE HWY.",
"address_2": "SUITE 4",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "32327",
"telephone_number": "850-271-8258",
"fax_number": "850-926-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAST",
"first_name": "GREGORY",
"middle_name": "EUGENE",
"credential": "MSLMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7039",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MH7039",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z026D",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.