Active NPI
Raul Garcia
- Addiction (Substance Use Disorder) Counselor
- Pensacola, FL
National Provider Identifier
1962831321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- MH9204
- Practice address
- 14 W Jordan St
Pensacola, FL 32501-1736 - Phone
- (850) 791-6952
- NPI assigned
- Nov 6, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH9204 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH9204 | FL | Primary |
| Mental Health Counselor | 101YM0800X | MH9204 | FL | |
| Professional Counselor | 101YP2500X | MH9204 | FL | |
| Marriage & Family Therapist | 106H00000X | MH9204 | FL |
Addresses
Primary practice location
14 W Jordan St
Pensacola, FL 32501-1736
Mailing address
14 W Jordan St
Pensacola, FL 32501-1736
Phone (850) 791-6952
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 |
|---|---|---|---|
| MH9204 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1962831321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 W JORDAN ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011736",
"telephone_number": "850-791-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 W JORDAN ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011736",
"telephone_number": "850-791-6952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH9204",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH9204",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9204",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH9204",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MH9204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.