Organization Active NPI

Felicia a Gledhill

  • Community/Behavioral Health Agency
  • Fort Walton Beach, FL
National Provider Identifier
1801208194
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH3471 Issued in FL
Legal business name
FELICIA A GLEDHILL
Practice address
228 Brooks St SE
Ste a
Fort Walton Beach, FL 32548-2800
Phone
(850) 301-0446
Fax
(850) 301-0442
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Mrs. Felicia A Gledhill, LMHC
Title
Licensed Mental Health Counselor
Phone
(850) 301-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH3471 FL Primary

Addresses

Primary practice location

228 Brooks St SE
Ste a
Fort Walton Beach, FL 32548-2800

Mailing address

228 Brooks St SE
Ste a
Fort Walton Beach, FL 32548-2800
Phone (850) 301-0446

Other identifiers 1

IdentifierTypeStateIssuer
MH3471OtherFLFLORIDA BLUE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1801208194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BROOKS ST SE",
            "address_2": "STE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325482800",
            "telephone_number": "850-301-0446",
            "fax_number": "850-301-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BROOKS ST SE",
            "address_2": "STE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325482800",
            "telephone_number": "850-301-0446",
            "fax_number": "850-301-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA A GLEDHILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "GLEDHILL",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "850-301-0446",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH3471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "MH3471",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.