Organization Active NPI

Lehigh Matters LLC

  • Mental Health Counselor
  • Lehigh Acres, FL
National Provider Identifier
1336701457
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEHIGH MATTERS LLC
Practice address
5598 8TH St W # 2
Lehigh Acres, FL 33971-6341
Phone
(786) 560-7496
NPI assigned
Jun 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Authorized official

Name
Mr. Dustin GolloppNPI 1740583368
Title
Manager
Phone
(786) 560-7496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

5598 8TH St W # 2
Lehigh Acres, FL 33971-6341

Mailing address

PO Box 1226
Lehigh Acres, FL 33970-1226

Other identifiers 1

IdentifierTypeStateIssuer
LL19000076682OtherFLDEPARTMENT OF CORPORATION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL COMODO

National Provider Directory

National Provider Directory

Locations

5598 8th St W
Unit 2
Lehigh Acres, FL 33971
Phone (305) 390-2369

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1336701457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339701226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 8TH ST W # 2",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716341",
            "telephone_number": "786-560-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "GOLLOPP",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-560-7496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CORPORATION",
            "identifier": "LL19000076682",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMODO",
            "affiliation": "N",
            "address_1": "5598 8th St W # 2",
            "city": "Lehigh Acres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339716341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

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