Individual provider Active NPI

Ben-Gassendi St. Juste, MA, MS,PHD CANDIDATE

  • Marriage & Family Therapist
  • Winter Park, FL
National Provider Identifier
1407511249
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3550 N Goldenrod Rd
Winter Park, FL 32792-8823
Phone
(321) 441-1030
NPI assigned
Nov 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3550 N Goldenrod Rd
Winter Park, FL 32792-8823

Mailing address

2212 Lake Weston Dr Apt 814
Orlando, FL 32810-4462
Phone (516) 655-7746

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
Credentials
Master of Arts, Master of Science, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1407511249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 LAKE WESTON DR APT 814",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328104462",
            "telephone_number": "516-655-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N GOLDENROD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928823",
            "telephone_number": "321-441-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JUSTE",
        "first_name": "BEN-GASSENDI",
        "credential": "MA, MS,PHD CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.