Active NPI
Wyatt Okeefe, LMHC
- Professional Counselor
- Gainesville, FL
National Provider Identifier
1942638010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH11305
- Practice address
- 3813 NW 32ND PL
Gainesville, FL 32606-6161 - Phone
- (352) 677-2401
- NPI assigned
- Oct 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH11905 | FL | |
| Professional Counselor | 101YP2500X | LH11305 | FL | Primary |
Addresses
Primary practice location
3813 NW 32ND PL
Gainesville, FL 32606-6161
Mailing address
3110 1St Ave N Ste 2M PMB 1104
St Petersburg, FL 33713-8637
Phone (352) 677-2401
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH11305 | FL | MD | Professional Counselor |
| LH11905 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruth Lehmann | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Gainesville, FL
- NPI 1215302005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1942638010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 1ST AVE N STE 2M PMB 1104",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138637",
"telephone_number": "352-677-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3813 NW 32ND PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066161",
"telephone_number": "352-677-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEEFE",
"first_name": "WYATT",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-28",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "LH11905",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "LH11305",
"primary": true
}
],
"identifiers": [],
"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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.