Individual provider Active NPI

Debra Lynn Weiss Hatfield, M.ED., ED.S., LMHC

  • Counselor
  • Gainesville, FL
National Provider Identifier
1255860193
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH13288 Issued in FL
Practice address
2240 NW 40TH Ter Ste a
Gainesville, FL 32605-3590
Phone
(352) 378-0900
Fax
(352) 378-7849
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH13288 FL Primary

Addresses

Primary practice location

2240 NW 40TH Ter Ste a
Gainesville, FL 32605-3590

Mailing address

2240 NW 40TH Ter Ste a
Gainesville, FL 32605-3590
Phone (352) 378-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2024 through Dec 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MH13288FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
DWH Counseling LLC Current Accepting new patients

Locations

2240 NW 40th Ter
Ste A
Gainesville, FL 32605
Phone (352) 222-9278

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1255860193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 NW 40TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053590",
            "telephone_number": "352-378-0900",
            "fax_number": "352-378-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 NW 40TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053590",
            "telephone_number": "352-378-0900",
            "fax_number": "352-378-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "DEBRA",
        "middle_name": "LYNN WEISS",
        "credential": "M.ED., ED.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH13288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.