Individual provider Active NPI

Frederick Joshua McCumber, EDS, LMFT, LMHC, NCC

  • Marriage & Family Therapist
  • Gainesville, FL
National Provider Identifier
1174816060
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2523 Issued in FL
Practice address
4010 W Newberry Rd Ste F
Gainesville, FL 32607-2368
Phone
(352) 373-1218
Fax
(352) 373-2191
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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 MH10426 FL
Marriage & Family Therapist 106H00000X MT2523 FL Primary

Addresses

Primary practice location

4010 W Newberry Rd Ste F
Gainesville, FL 32607-2368

Mailing address

4010 W Newberry Rd Ste F
Gainesville, FL 32607-2368
Phone (352) 373-1218

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
MH10426FLMDMental Health Counselor
MT2523FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1174816060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W NEWBERRY RD STE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072368",
            "telephone_number": "352-373-1218",
            "fax_number": "352-373-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W NEWBERRY RD STE F",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072368",
            "telephone_number": "352-373-1218",
            "fax_number": "352-373-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUMBER",
        "first_name": "FREDERICK",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "EDS, LMFT, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10426",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2523",
            "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 May 25, 2011; 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.