Marvin Vandellas Hughley, LMHC, CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11670 Issued in FL

Practice address

218 Forest Park Cir
Panama City, FL 32405-4915

Phone

(850) 628-9326

Fax

(888) 475-8203

NPI assigned

Mar 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1396086831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054915",
            "telephone_number": "850-628-9326",
            "fax_number": "888-475-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054915",
            "telephone_number": "850-628-9326",
            "fax_number": "888-475-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHLEY",
        "first_name": "MARVIN",
        "middle_name": "VANDELLAS",
        "name_prefix": "Mr.",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11670",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Howell, LMHC
• Alhakam Hudaihed, MD
• Kyle Hudson
• Leah Mychele Huff, LPN
• Kaitlin Hughes, RD
• Pauline Hughley
• Hughleys Mental Health Servcies
• Hughston Clinic Southeast PC
• Hugo1Corp
• Rachel K Hulick, M.D.

• Mental Health Counselor in Panama City, FL
• Providers in Panama City, 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 May 9, 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.