Individual provider Active NPI

Gina R Hunt

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1417445552
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
907 Mar Walt Dr Ste 2022
Fort Walton Beach, FL 32547-6631
Phone
(907) 230-9268
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X STUDENT
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X FL Primary

Addresses

Primary practice location

907 Mar Walt Dr Ste 2022
Fort Walton Beach, FL 32547-6631

Mailing address

402 Sandy Ridge Cir
Mary Esther, FL 32569-2112
Phone (907) 230-9268

Other practice location 1

6003 Kody Dr
Anchorage, AK 99504-5308
Phone (907) 230-9268

Other practice location 2

1406 Jenny Ln
Clarksville, TN 37042-9528
Phone (907) 230-6009

Other practice location 3

139 E Old Trenton Rd
Clarksville, TN 37043-5845
Phone (800) 991-6070

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

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1417445552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SANDY RIDGE CIR",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692112",
            "telephone_number": "907-230-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476631",
            "telephone_number": "907-230-9268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6003 Kody Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995045308",
            "country_code": "US",
            "telephone_number": "907-230-9268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1406 Jenny Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370429528",
            "country_code": "US",
            "telephone_number": "907-230-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 E Old Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370435845",
            "country_code": "US",
            "telephone_number": "800-991-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "GINA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.