Active NPI
Real Life Counseling, Inc
- Community/Behavioral Health Agency
- Panama City, FL
National Provider Identifier
1265730717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH7039
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- MH7039
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory E Gast, MS, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZO26D | Other | FL | BCBS |
| MH7039 | Other | FL | FL LICENSE |
| 1164745352 | Other | NPI |
Other names 1
- GREGORY E GAST, MS LMHC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Crawfordville, FL
- NPI 1164745352
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.