Gulf Coast Counseling Services of Bay County

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6588 Issued in FL

Legal business name

GULF COAST COUNSELING SERVICES OF BAY COUNTY

Practice address

5409 Nehi Rd
Panama City, FL 32404-3043

Phone

(850) 832-9364

Fax

(850) 722-8782

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Kidd, LMHCNPI 1124101159

Title

Owner

Phone

(850) 832-9364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Laurie Kidd, PSYD

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1124101159
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1720161763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16693",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324066693",
            "telephone_number": "850-832-9364",
            "fax_number": "850-722-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 NEHI RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324043043",
            "telephone_number": "850-832-9364",
            "fax_number": "850-722-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST COUNSELING SERVICES OF BAY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-832-9364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Z035R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.