Benedict Etienne Gauthier, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT4138 Issued in FL

Practice address

645 NE 62ND St
Miami, FL 33138-6234

Phone

(626) 604-1966

NPI assigned

Jun 28, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1992540173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 NE 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331386234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 NE 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331386234",
            "telephone_number": "626-604-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "BENEDICT",
        "middle_name": "ETIENNE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Carlos Gaud-Vargas, MD
• Elisa Gaudiosi, LSCW
• Ignacio Alejandro Gaunaurd, MSPT
• Abhinav Gautam, M.D.
• Anirudh Gautam, MD
• Timothy Gauthier, PHARM.D., BCPS-AQ ID
• Daniel Amauri Gautreaux, MD
• Chanel Jannis Gauzens, COTA
• Nicole Aleida Gavallas, D.O.
• Lauren Gavarian, M.S., CCC-SLP

• Marriage & Family Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.