Philip D Garzarelli, LMHC, CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH10010 Issued in FL

Practice address

5001 S Florida Ave
Suite 202
Lakeland, FL 33813-2776

Phone

(561) 684-7300

Fax

(561) 684-7450

NPI assigned

Jan 31, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: philip.garzarellilmhc@direct.mybaycare.org

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1356680011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803904",
            "telephone_number": "863-294-7062",
            "fax_number": "561-294-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 S FLORIDA AVE",
            "address_2": "SUITE 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132776",
            "telephone_number": "561-684-7300",
            "fax_number": "561-684-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803904",
            "country_code": "US",
            "telephone_number": "863-294-7062",
            "fax_number": "863-294-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZARELLI",
        "first_name": "PHILIP",
        "middle_name": "D",
        "credential": "LMHC, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12511",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.garzarelli@baycare.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1201 1st St S",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338803904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.garzarelli@baycare.org",
            "affiliation": "N",
            "address_1": "1201 1st St S",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338803904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khalilah Garrett, LCSW
• Alex I Garriga, M.D.
• Lisa Gartrell, CRNP-PMH
• Bruce Howard Garver, M.S.
• Erin Fagan Garza, APRN
• Latesha Vontrice Gaskins
• Nicole Tucker Gathwright, M.S., C.C.C.-S.L.P.
• Shelby Beatrice Mooney Gaudette, LCSW
• Morissa Gaughran, DO
• Andrew Christian Gaugler, D.O.

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, 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 Mar 30, 2021; 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.