Individual provider Active NPI

Guerlande V Joseph, LMHC

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1790474898
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24097 Issued in FL
Practice address
1532 Kingsley Ave Ste 112-114
Orange Park, FL 32073-4538
Phone
(239) 690-6906
NPI assigned
May 4, 2023
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 MH24097 FL Primary

Addresses

Primary practice location

1532 Kingsley Ave Ste 112-114
Orange Park, FL 32073-4538

Mailing address

2005 Stable Gate LN
Orange Park, FL 32065-5254
Phone (904) 994-0667

Other practice location 1

2005 Stable Gate Ln
Orange Park, FL 32065-5254
Phone (904) 994-0667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014003425 FL Practitioner - Mental Health Counselor 3779015847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1542 Kingsley Ave
Suite 136
Orange Park, FL 32073-4547
Phone (239) 223-2751

3191 Harbor Blvd
Suite a
Port Charlotte, FL 33952-6755
Phone (941) 883-4518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH24097FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC Mental Health CurrentSince Oct 4, 2024 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Oct 4, 2024 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Organizations & group practices 2

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1790474898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 STABLE GATE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655254",
            "telephone_number": "904-994-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 KINGSLEY AVE STE 112-114",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734538",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Stable Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320655254",
            "country_code": "US",
            "telephone_number": "904-994-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "GUERLANDE",
        "middle_name": "V",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.