Active NPI
Tatiana Gorospe, M.ED, ED.S.
- Mental Health Counselor
- Fort Myers, FL
National Provider Identifier
1750111886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH25369
- Practice address
- 8112 New Jersey Blvd
Fort Myers, FL 33967-2867 - Phone
- (239) 877-3358
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH25369 | FL | Primary |
Addresses
Primary practice location
8112 New Jersey Blvd
Fort Myers, FL 33967-2867
Mailing address
8112 New Jersey Blvd
Fort Myers, FL 33967-2867
Phone (239) 877-3358
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH25369 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1750111886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 NEW JERSEY BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339672867",
"telephone_number": "239-877-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8112 NEW JERSEY BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339672867",
"telephone_number": "239-877-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOROSPE",
"first_name": "TATIANA",
"credential": "M.ED, ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH25369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.