A Path to Change Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

A PATH TO CHANGE COUNSELING, LLC

Practice address

221 Frontage Road Suite a
Clermont, FL 32714

Phone

(352) 356-5005

NPI assigned

Apr 10, 2018

Organization subpart

No

Name

Michael Edward Gilman, MCAP, LMHCNPI 1518367192

Title

Owner

Phone

(352) 356-5005

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Edward Gilman, LMHC CAP

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1518367192

  FL

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in FL

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2018.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1619474251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691978",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328691978",
            "telephone_number": "352-356-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 FRONTAGE ROAD SUITE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "352-356-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PATH TO CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-356-5005",
        "authorized_official_credential": "MCAP, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.