Individual provider Active NPI

Gordon Dale Hobbie, PHD

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1265962484
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC2710 Issued in FL
Practice address
1964 Howell Branch Rd Ste 106
Winter Park, FL 32792-1042
Phone
(407) 756-0677
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2710 FL
Mental Health Counselor 101YM0800X LMHC2710 FL Primary

Addresses

Primary practice location

1964 Howell Branch Rd Ste 106
Winter Park, FL 32792-1042

Mailing address

44402 Cross Country Blvd
Altoona, FL 32702-9238
Phone (407) 756-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2710FLMDMental Health Counselor
LMHC2710FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1265962484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44402 CROSS COUNTRY BLVD",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "327029238",
            "telephone_number": "407-756-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "407-756-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBIE",
        "first_name": "GORDON",
        "middle_name": "DALE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "2710",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.