Organization Active NPI

Gabrielle Peterson, M.S. LMFT PLLC

  • Marriage & Family Therapist
  • Gainesville, FL
National Provider Identifier
1922322650
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GABRIELLE PETERSON, M.S. LMFT PLLC
Practice address
2631 NW 41St St
BLDG E, Suite 1
Gainesville, FL 32606-7470
Phone
(352) 367-1110
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Gabrielle Therese Peterson, M.S.NPI 1043313463
Title
LMFT PLLC
Phone
(352) 367-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2631 NW 41St St
BLDG E, Suite 1
Gainesville, FL 32606-7470

Mailing address

2631 NW 41St St
BLDG E, Suite 1
Gainesville, FL 32606-7470
Phone (352) 367-1110

Other identifiers 1

IdentifierTypeStateIssuer
Z3685OtherFLBLUE CROSS/BLUE SHIELD INSURANCE

National Provider Directory

National Provider Directory

Locations

2631 NW 41st St
Ste E1
Gainesville, FL 32606
Phone (352) 367-1110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1922322650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST",
            "address_2": "BLDG E, SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067470",
            "telephone_number": "352-367-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 NW 41ST ST",
            "address_2": "BLDG E, SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067470",
            "telephone_number": "352-367-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE PETERSON, M.S. LMFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "LMFT PLLC",
        "authorized_official_telephone_number": "352-367-1110",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD INSURANCE",
            "identifier": "Z3685",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.