Elizabeth Gazala

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11590 Seminole Blvd Ste C4
Largo, FL 33778-3204

Phone

(651) 503-6037

NPI assigned

Oct 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fortitude Mental Health Counseling LLC

  • Mental Health Counselor
  • Largo, FL
  • NPI 1114817251
  NPD Authorized official

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1386016194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6388 93RD TER N APT 4605",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824646",
            "telephone_number": "651-503-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 SEMINOLE BLVD STE C4",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783204",
            "telephone_number": "651-503-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZALA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Garry, PA-C
• Kimberly Gary
• Yelena I Gatons, DDS
• Allison Gauvey, PA
• Jack N. Gay Jr., M.D.
• Lisa Gecelosky, LMT
• Jamie Danielle Gegelman
• Kristi Geiger, PAC
• Lindsey Michelle Geiger
• Mina Geneidy

• Mental Health Counselor in Largo, FL
• Providers in Largo, 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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.