Active NPI
Gina R Hunt
- Mental Health Counselor
- Fort Walton Beach, FL
National Provider Identifier
1417445552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.