Individual provider Active NPI

Connie Hobbs, LMHC, CAP, BC-TMH

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1942607387
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13572 Issued in FL
Practice address
210 Bosarvey Dr
Ormond Beach, FL 32176-6625
Phone
(386) 295-4420
NPI assigned
Dec 1, 2014
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADA-002758-2014 FL
Mental Health Counselor 101YM0800X IMH11503 FL
School Counselor 101YS0200X 1080727 FL
Mental Health Counselor 101YM0800X MH13572 FL Primary

Addresses

Primary practice location

210 Bosarvey Dr
Ormond Beach, FL 32176-6625

Mailing address

210 Bosarvey Dr
Ormond Beach, FL 32176-6625
Phone (386) 295-4420

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

State licenses

LicenseStateTypeSpecialty
ADA-002758-2014FLMDAddiction (Substance Use Disorder) Counselor
IMH11503FLMDMental Health Counselor
MH13572FLMDMental Health Counselor
1080727FLMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1942607387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BOSARVEY DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766625",
            "telephone_number": "386-295-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BOSARVEY DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766625",
            "telephone_number": "386-295-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "CONNIE",
        "credential": "LMHC, CAP, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADA-002758-2014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH11503",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "1080727",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.