Individual provider Active NPI

Idil Gursoy

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1194381426
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
18597 Woodstream Dr
Boca Raton, FL 33498-6369
Phone
(561) 563-5294
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

18597 Woodstream Dr
Boca Raton, FL 33498-6369

Mailing address

18597 Woodstream Dr
Boca Raton, FL 33498-6369
Phone (561) 563-5294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT, NJ, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240717004126 FL Practitioner - Mental Health Counselor 9133664816 Reassigns benefits to 1 organization
I20240927000626 CT Practitioner - Mental Health Counselor 9133664816 Reassigns benefits to 1 organization
I20241210001601 NJ Practitioner - Mental Health Counselor 9133664816 Reassigns benefits to 1 organization
I20251106001595 IN Practitioner - Mental Health Counselor 9133664816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7450CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 6, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 7, 2024 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 2

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1194381426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18597 WOODSTREAM DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986369",
            "telephone_number": "561-563-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18597 WOODSTREAM DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986369",
            "telephone_number": "561-563-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSOY",
        "first_name": "IDIL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.