Gainesville Community Counseling Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

GAINESVILLE COMMUNITY COUNSELING CENTER

Practice address

7106 NW 11TH PL
Gainesville, FL 32605-3157

Phone

(352) 448-9120

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Green, LMFTNPI 1619281979

Title

Executive Director

Phone

(352) 448-9120

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Green, LMFT

  • Marriage & Family Therapist
  • Gainesville, FL
  • NPI 1619281979
  Medicare reassignment NPD Authorized official
• Eliane Fuentes

  • Counselor
  • Gainesville, FL
  • NPI 1871178590
  Medicare reassignment NPD
• Conor Adam Mitchell

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1871220236
  NPD (past)
• Dexter Rogers

  • Marriage & Family Therapist
  • Gainesville, FL
  • NPI 1386236974
  NPD (past)
• Samuel Rosenblatt, RMHCI, CPT

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1902415631
  NPD (past)
• John Devin Shorey, LMHC, RMFTI

  • Mental Health Counselor
  • Trenton, FL
  • NPI 1417566464

  Marriage & Family Therapist

  NPD (past)
• Nathan Quinn, LPCA, RMHCI

  • Professional Counselor
  • New Haven, CT
  • NPI 1760173090
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1710470851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "ARCHER",
            "state": "FL",
            "postal_code": "326180036",
            "telephone_number": "352-448-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053157",
            "telephone_number": "352-448-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-448-9120",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "MT2733",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville After Hours Clinic
• Gainesville and Ocala Perio LLC
• Gainesville Audiology, Inc.
• Gainesville Back and Neck Pain Relief Chiropractic,LLC
• Gainesville Chiropractic, Inc
• Gainesville Community Ministry
• Gainesville Council on Aging Inc (Gainesville Health Care Center)
• Gainesville Counseling Center LLC
• Gainesville Dermatology & Skin Surgery, PA
• Gainesville Doula Network Inc

• Community Health Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.