Individual provider Active NPI

Karin Grace Fields, LMHC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1487888590
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10065 Issued in FL
Practice address
4703 NW 53Rd Ave
Suite a-2
Gainesville, FL 32653-3415
Phone
(352) 332-6131
Fax
(352) 332-6263
NPI assigned
May 5, 2009
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 MH10065 FL Primary

Addresses

Primary practice location

4703 NW 53Rd Ave
Suite a-2
Gainesville, FL 32653-3415

Mailing address

4723 NW 53Rd Ave Ste B
Gainesville, FL 32653-4804
Phone (352) 235-9006

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

LicenseStateTypeSpecialty
MH10065FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Nook Inclusive Therapeutic Center LLC Mental Health Current Accepting new patients

Locations

4723 NW 53rd Ave
Ste B
Gainesville, FL 32653
Phone (352) 235-9006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1487888590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 NW 53RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534804",
            "telephone_number": "352-235-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 NW 53RD AVE",
            "address_2": "SUITE A-2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533415",
            "telephone_number": "352-332-6131",
            "fax_number": "352-332-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KARIN",
        "middle_name": "GRACE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10065",
            "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 Oct 14, 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.