Active NPI
Gregory Alan Hasek, MA/MFT LPC, LMHC
- Mental Health Counselor
- Bonita Springs, FL
National Provider Identifier
1699004168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 13637
- Practice address
- 24840 Burnt Pine Dr
Suites 1 & 2
Bonita Springs, FL 34134-2999 - Phone
- (239) 301-4464
- NPI assigned
- Dec 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH 13637 | FL | |
| Counselor | 101Y00000X | MH 13637 | FL | |
| Marriage & Family Therapist | 106H00000X | MH 13637 | FL | |
| Mental Health Counselor | 101YM0800X | MH 13637 | FL | Primary |
Addresses
Primary practice location
24840 Burnt Pine Dr
Suites 1 & 2
Bonita Springs, FL 34134-2999
Mailing address
24840 Burnt Pine Dr
Suites 1 & 2
Bonita Springs, FL 34134-2999
Phone (239) 301-4464
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 13637 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Misty Mountain Family Enrichment Center | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Bonita Springs, FL
- NPI 1154650620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1699004168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24840 BURNT PINE DR",
"address_2": "SUITES 1 & 2",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341342999",
"telephone_number": "239-301-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24840 BURNT PINE DR",
"address_2": "SUITES 1 & 2",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341342999",
"telephone_number": "239-301-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASEK",
"first_name": "GREGORY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MA/MFT LPC, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-13",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH 13637",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH 13637",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MH 13637",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 13637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.