Active NPI
Stanford Curtis Garrett, LMHC
- Mental Health Counselor
- St Augustine, FL
National Provider Identifier
1396094330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 11317
- Practice address
- 1735 State Road 16
St Augustine, FL 32084-5831 - Phone
- (904) 826-0424
- NPI assigned
- Sep 6, 2012
- Last updated
- Sep 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 11317 | FL | Primary |
Addresses
Primary practice location
1735 State Road 16
St Augustine, FL 32084-5831
Mailing address
324 Southlake Drive
St. Augustine, FL 32092
Phone (904) 826-0424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 11317 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1396094330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 SOUTHLAKE DRIVE",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "32092",
"telephone_number": "904-826-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 STATE ROAD 16",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320845831",
"telephone_number": "904-826-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "STANFORD",
"middle_name": "CURTIS",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 11317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.