Ann Mignon Mattingly Gillis, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15063 Issued in FL

Practice address

5642 Jones St
Milton, FL 32570-2304

Phone

(850) 626-7779

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ann Mignon Carter Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Santa Rosa Counseling Center LLC

  • Mental Health Counselor
  • Milton, FL
  • NPI 1962697441
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1265663256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012664",
            "telephone_number": "850-266-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 JONES ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702304",
            "telephone_number": "850-626-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY GILLIS",
        "first_name": "ANN",
        "middle_name": "MIGNON",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "CARTER",
            "middle_name": "MIGNON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mike H Marcantonio, DMD
• Mark J Elder DO PA
• Claire Marx, DC
• Danielle Nicole Matthews, RBT
• Roger Matthews
• Dennis Mayeaux, M.D.
• Leslie R Mayes
• Jeremy McConnell
• Devin Megan McCraney
• Carlee McCullers, RN

• Mental Health Counselor in Milton, FL
• Providers in Milton, 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 May 29, 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.