Individual provider Active NPI

Bessie Gotthold, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1972600450
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7337 Issued in FL
Practice address
283 Park Boulevard
Miami, FL 33126
Phone
(305) 262-0099
Fax
(305) 262-0097
NPI assigned
Sep 19, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7337 FL Primary

Addresses

Primary practice location

283 Park Boulevard
Miami, FL 33126

Mailing address

283 Park Boulevard
Miami, FL 33126
Phone (305) 262-0099

Other identifiers 3

IdentifierTypeStateIssuer
Z090ROtherFLBCBS NUMBER
002444600MedicaidFL
2897OtherFLFLORIDA CERTIFICATION BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227002083 FL Practitioner - Mental Health Counselor 2062590086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Miami CMHC IncGroup PAC ID 3971693920, 7 clinicians

Practice addresses (Care Compare)

7915 NW 2ND St
Miami, FL 33126-8000
Phone (305) 262-0099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH7337FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Miami CMHC Inc CurrentSince Jun 1, 2012 Accepting new patients

Locations

283 Park Blvd
Miami, FL 33126
Phone (305) 262-0099

7915 NW 2nd St
Miami, FL 33126
Phone (305) 262-0099

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1972600450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 PARK BOULEVARD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-262-0099",
            "fax_number": "305-262-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 PARK BOULEVARD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-262-0099",
            "fax_number": "305-262-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTHOLD",
        "first_name": "BESSIE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "Z090R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002444600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "2897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.