Individual provider Active NPI

Michael W Northsea, LMHC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1831692003
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10241 Issued in FL
Practice address
10316 SW 105TH Dr
Gainesville, FL 32608-7358
Phone
(352) 514-1052
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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 MH10241 FL Primary

Addresses

Primary practice location

10316 SW 105TH Dr
Gainesville, FL 32608-7358

Mailing address

10316 SW 105TH Dr
Gainesville, FL 32608-7358
Phone (352) 514-1052

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
MH10241FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1831692003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 SW 105TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087358",
            "telephone_number": "352-514-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 SW 105TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087358",
            "telephone_number": "352-514-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHSEA",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.