Active NPI
Holli Gotsis
- Mental Health Counselor
- Brandon, FL
National Provider Identifier
1861264798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1602 Oakfield Dr
Brandon, FL 33511-0827 - Phone
- (813) 655-6367
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1602 Oakfield Dr
Brandon, FL 33511-0827
Mailing address
1018 Carriage Park Dr
Valrico, FL 33594-4655
Phone (813) 495-1125
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1861264798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 CARRIAGE PARK DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335944655",
"telephone_number": "813-495-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335110827",
"telephone_number": "813-655-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTSIS",
"first_name": "HOLLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.