Individual provider Active NPI

Mimi Culpepper, MA, LMHC, MCAP, CCTP

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1487732798
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16021 Issued in FL
Practice address
802 NW 16TH Ave Ste B
Gainesville, FL 32601-4012
Phone
(352) 448-7960
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16021 FL Primary

Addresses

Primary practice location

802 NW 16TH Ave Ste B
Gainesville, FL 32601-4012

Mailing address

6527 SE 232ND Ter
Hawthorne, FL 32640-3748
Phone (352) 448-7960

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

State licenses

LicenseStateTypeSpecialty
MH16021FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Growth Therapy LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients

Locations

802 NW 16th Ave
#B
Gainesville, FL 32601
Phone (352) 448-7960

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1487732798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 SE 232ND TER",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403748",
            "telephone_number": "352-448-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NW 16TH AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014012",
            "telephone_number": "352-448-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "MIMI",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, MCAP, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.