The Nook Inclusive Therapeutic Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE NOOK INCLUSIVE THERAPEUTIC CENTER LLC

Practice address

4723 NW 53Rd Ave Ste B
Gainesville, FL 32653-4804

Phone

(352) 871-5876

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Karin Fields, PHD, LMHCNPI 1487888590

Title

Executive Director

Phone

(352) 871-5876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karin Grace Fields, LMHC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1487888590
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1245059740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534804",
            "telephone_number": "352-235-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534804",
            "telephone_number": "352-871-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOOK INCLUSIVE THERAPEUTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-871-5876",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.