Individual provider Active NPI

Desmond Gilmore, LMHC

  • Mental Health Counselor
  • Riviera Beach, FL
National Provider Identifier
1790186377
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 12510 Issued in FL
Practice address
31 W 20TH St Ste 200
Riviera Beach, FL 33404-6155
Phone
(561) 899-9140
NPI assigned
Sep 15, 2014
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 12510 FL Primary

Addresses

Primary practice location

31 W 20TH St Ste 200
Riviera Beach, FL 33404-6155

Mailing address

31 W 20TH St Ste 200
Riviera Beach, FL 33404-6155
Phone (561) 899-9140

Other practice location 1

4384 Purdy Ln Fl 33406
Palm Springs, FL 33406-7562
Phone (561) 881-5020

Other practice location 2

4384 Purdy Ln Fl 33406
Palm Springs, FL 33406-7562
Phone (561) 881-5020

Other names 1

  • Desmond Gilmore Professional name

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

LicenseStateTypeSpecialty
MH 12510FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Systems Riviera Inc CurrentSince Aug 6, 2023 Accepting new patients
The Counseling Center Inc Mental Health CurrentSince Sep 20, 2022 Accepting new patients
Total Family Health Care Center Inc Mental Health Past Accepting new patients

Locations

31 W 20th St
Ste 200
Riviera Beach, FL 33404
Phone (561) 899-9140

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1790186377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST STE 200",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046155",
            "telephone_number": "561-899-9140",
            "fax_number": "561-331-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST STE 200",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046155",
            "telephone_number": "561-899-9140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4384 Purdy Ln Fl 33406",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334067562",
            "country_code": "US",
            "telephone_number": "561-881-5020",
            "fax_number": "561-881-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4384 Purdy Ln Fl 33406",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334067562",
            "country_code": "US",
            "telephone_number": "561-881-5020",
            "fax_number": "561-881-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "DESMOND",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-09-12",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESMOND",
            "last_name": "GILMORE",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.