Damita Autrecia Hartz, AP, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17036 Issued in FL

Practice address

2610 NW 43Rd St Ste 1B
Gainesville, FL 32606-6677

Phone

(352) 448-5836

Fax

(352) 448-7789

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Florida Acupuncture and Counseling, Inc.

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1952952756
  Medicare reassignment NPD
• Three Treasures Holistic Care, LLC

  • Acupuncturist
  • Gainesville, FL
  • NPI 1376008375

  Mental Health

  NPD (past) Authorized official
• Florida Acupuncture and Counseling, Inc.

  • Acupuncturist
  • Gainesville, FL
  • NPI 1831799808
  NPD
• Florida Acupuncture and Counseling, Inc.

  • Massage Therapist
  • Gainesville, FL
  • NPI 1063266260
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1851652853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 NW 43RD ST STE 1B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066677",
            "telephone_number": "352-448-5836",
            "fax_number": "352-448-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 NW 43RD ST STE 1B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066677",
            "telephone_number": "352-448-5836",
            "fax_number": "352-448-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "DAMITA",
        "middle_name": "AUTRECIA",
        "name_prefix": "Mrs.",
        "credential": "AP, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy L. Hartman, CRNA
• Matthew Hartman
• Tyler Hartman, M.D.
• Jocelyn Gwynn Hartshorn
• Jessica Ann Hartwell, CRNA
• Andrea L Harvey
• Elizabeth Harvey, LMFT, LMHC
• Amanda Harvie
• Jordyn Andrew Harvie
• Andrew Harwick

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.