Samuel Rosenblatt, RMHCI, CPT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH19066 Issued in FL

Practice address

1001 NE 16TH Ave
Gainesville, FL 32601-2511

Phone

(352) 448-9120

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Maryland Wellness Center LLC

  • Mental Health Counselor
  • Rockville, MD
  • NPI 1619707098
  NPD Authorized official
• Gainesville Community Counseling Center

  • Community Health Clinic/Center
  • Gainesville, FL
  • NPI 1710470851
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1902415631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NE 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012511",
            "telephone_number": "352-448-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NE 16TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012511",
            "telephone_number": "352-448-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "RMHCI, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14925950",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://gainesvillecounselingcenter.com/",
            "affiliation": "N",
            "address_1": "1001 NE 16th Ave",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326012511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric I Rosenberg, MD
• Jason J Rosenberg, M.D.
• Sharon Nichelle Rosenberg, M.O.T.
• Allison Shea Rosenberger
• Michael Rosenblatt, PHARMD
• Ashley Brooke Rosenboom, APRN
• Cameron McDougald Rosenthal, M.D.
• Martin Daniel Rosenthal, M.D.
• Monika Bigler Rosier, PHD
• Angelena Ross, LMHC

• 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, 2020; 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.