Individual provider Active NPI

Larry Baumgartner

  • Marriage & Family Therapist
  • St Augustine, FL
National Provider Identifier
1669828828
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3602 Issued in FL
Practice address
340 Paseo Reyes Dr
St Augustine, FL 32095-8464
Phone
(727) 946-1346
NPI assigned
May 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3602 FL Primary
Marriage & Family Therapist 106H00000X 4370 MN

Addresses

Primary practice location

340 Paseo Reyes Dr
St Augustine, FL 32095-8464

Mailing address

99 King St Unit 186
Saint Augustine, FL 32085-7708

Other practice location 1

4400 Marsh Landing Blvd Ste 104
Ponte Vedra Beach, FL 32082-1287
Phone (727) 946-1346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250326003872 MN Practitioner - Marriage and Family Therapist 6608399068 Reassigns benefits to 1 organization
I20250328003397 FL Practitioner - Marriage and Family Therapist 6608399068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Feb 28, 2025 Accepting new patients
Trinity Relationship Center, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4400 Marsh Landing Blvd
Ste 104
Ponte Vedra Beach, FL 32082
Phone (904) 280-1221

99 King St
Unit 186
St Augustine, FL 32085

340 Paseo Reyes Dr
St Augustine, FL 32095
Phone (727) 946-1346

7747 Mitchell Blvd
Ste B
Trinity, FL 34655
Phone (404) 941-6402

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Organizations & group practices 2

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1669828828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KING ST UNIT 186",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320857708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "727-946-1346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Marsh Landing Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320821287",
            "country_code": "US",
            "telephone_number": "727-946-1346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3602",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.