Courtney Gultz, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

9980 Central Park Blvd N Ste 210
Boca Raton, FL 33428-1703

Phone

(954) 415-1604

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boca Raton Psychiatry, LLCGroup PAC ID 0749547750, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Boca Raton Psychiatry, LLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1275056616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1891366399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 NW 126TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763406",
            "telephone_number": "954-415-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "954-415-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULTZ",
        "first_name": "COURTNEY",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "MT4027",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredinna Ketia Guillaume
• Eduard Daniel Guillen Cordero
• Verina Guirguis
• Cigdy Mariana Guiza Mendoza
• Clinton Gulley III
• Daian M Gunter
• Jiahui Guo, LCSW
• Henah Gupta Hossain, PHD
• Archana Anil Gupta, M.D.
• Manish K Gupta, MD

• Marriage & Family Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.