Organization Active NPI

Real Life Counseling, Inc

  • Community/Behavioral Health Agency
  • Panama City, FL
National Provider Identifier
1265730717
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH7039 Issued in FL
Legal business name
REAL LIFE COUNSELING, INC
Practice address
221 E 23Rd St
Suite F
Panama City, FL 32405-7612
Phone
(850) 271-8258
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MH7039As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Mr. Gregory E Gast, MS, LMHCNPI 1164745352
Title
President
Phone
(850) 271-8258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH7039 FL Primary

Addresses

Primary practice location

221 E 23Rd St
Suite F
Panama City, FL 32405-7612

Mailing address

221 E 23Rd St
Suite F
Panama City, FL 32405-7612
Phone (850) 271-8258

Other identifiers 3

IdentifierTypeStateIssuer
ZO26DOtherFLBCBS
MH7039OtherFLFL LICENSE
1164745352OtherNPI

Other names 1

  • GREGORY E GAST, MS LMHC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1265730717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E 23RD ST",
            "address_2": "SUITE F",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057612",
            "telephone_number": "850-271-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 23RD ST",
            "address_2": "SUITE F",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057612",
            "telephone_number": "850-271-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE COUNSELING, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH7039",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-271-8258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH7039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZO26D",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "MH7039",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164745352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREGORY E GAST, MS LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.