Active NPI
Gregory P Hietpas, M.A., L.M.H.C.
- Professional Counselor
- Clearwater, FL
National Provider Identifier
1679656029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH1744
- Practice address
- 2430 Estancia Blvd
Suite 101, Oak Creek Offices
Clearwater, FL 33761-2631 - Phone
- (727) 738-5054
- Fax
- (727) 738-5054
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH1744 | FL | Primary |
Addresses
Primary practice location
2430 Estancia Blvd
Suite 101, Oak Creek Offices
Clearwater, FL 33761-2631
Mailing address
318 President St
Dunedin, FL 34698-6953
Phone (727) 738-5054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z4491 | Other | FL | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH1744 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679656029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 PRESIDENT ST",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986953",
"telephone_number": "727-738-5054",
"fax_number": "727-738-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 ESTANCIA BLVD",
"address_2": "SUITE 101, OAK CREEK OFFICES",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612631",
"telephone_number": "727-738-5054",
"fax_number": "727-738-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIETPAS",
"first_name": "GREGORY",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH1744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z4491",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
- David L. Hicks, D.O.
- Jennifer Joan Hicks, MA, BCBA
- Joseph Lyle Hicks, DC
- Tammie Lynn Hicks, COTA/L
- Harold Hidalgo, PA-C
- High Point Medical LLC
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- Highland Pines Rehabilitation and Nursing Center, LLC
- Highland Pines Rehabilitation and Nursing Center, LLC
- Ashley Hilbert, EMERGENCY MEDICINE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.