Individual provider Active NPI

Gail Kathryn Amalfitano, LMHC, NCC

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1174038434
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17062 Issued in FL
Practice address
9873 Lawrence Rd Apt F206
Boynton Beach, FL 33436-3818
Phone
(786) 385-4673
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17062 FL Primary
Mental Health Counselor 101YM0800X IMH15734 FL

Addresses

Primary practice location

9873 Lawrence Rd Apt F206
Boynton Beach, FL 33436-3818

Mailing address

9873 Lawrence Rd Apt F206
Boynton Beach, FL 33436-3818
Phone (786) 385-4673

Other identifiers 2

IdentifierTypeStateIssuer
MH17062OtherFLFLORIDA STATE LICENSE LMHC
IMH15734OtherFLSTATE LICENSE RMHCI

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

State licenses

LicenseStateTypeSpecialty
IMH15734FLMDMental Health Counselor
MH17062FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1174038434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9873 LAWRENCE RD APT F206",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363818",
            "telephone_number": "786-385-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9873 LAWRENCE RD APT F206",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363818",
            "telephone_number": "786-385-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMALFITANO",
        "first_name": "GAIL",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17062",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH15734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE LMHC",
            "identifier": "MH17062",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE RMHCI",
            "identifier": "IMH15734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.