Individual provider Active NPI

Cindy Jean Gourley, MA, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1881020667
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11054 Issued in FL
Practice address
2770 Browning St
Sarasota, FL 34237-7631
Phone
(941) 323-8922
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 11054 FL Primary

Addresses

Primary practice location

2770 Browning St
Sarasota, FL 34237-7631

Mailing address

2755 Greendale Dr
Sarasota, FL 34232-3737
Phone (941) 323-8922

Other practice location 1

2755 Greendale Dr
Sarasota, FL 34232-3737
Phone (941) 323-8922

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
I20240318001294 FL Practitioner - Mental Health Counselor 5991142614 Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2770 Browning St
Sarasota, FL 34237-7631
Phone (941) 323-8922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11054FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Gourley LMHC Mental Health CurrentSince Feb 4, 2024 Accepting new patients

Locations

2770 Browning St
Sarasota, FL 34237
Phone (941) 323-8922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1881020667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 GREENDALE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342323737",
            "telephone_number": "941-323-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 BROWNING ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377631",
            "telephone_number": "941-323-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Greendale Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342323737",
            "country_code": "US",
            "telephone_number": "941-323-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "CINDY",
        "middle_name": "JEAN",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.