MR. DOUGLAS PAUL GORMAN JR. MHC
NPI 1972848711
Counselor - Mental Health in Tampa, FL

Active since December 05, 2012PECOS EnrolledAccepts Medicare Assignment
6323 MEMORIAL HWY BLDG A, TAMPA, FL 33615(813) 891-9474 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Douglas Paul Gorman Jr. Mhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS PAUL GORMAN JR. MHC (NPI 1972848711) is an individual mental health provider in Tampa, Florida, licensed in Florida (IMH8949) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972848711
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DOUGLAS PAUL GORMAN JR.Credential: MHC
Location Address6323 MEMORIAL HWY BLDG ATampa, FL 33615-4509
Mailing Address7213 N Duncan AveTampa, FL 33604-5407 · (401) 497-2180
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 5, 2012
✔ NPI 1972848711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH8949
6323 MEMORIAL HWY BLDG A, Tampa, FL 33615

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Douglas Paul Gorman Jr. Mhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608224555
PECOS Enrollment IDI20250922002474
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Gorman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Massachusetts enrollment
  • 250 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Gorman's NPI number?

The NPI number for Douglas Gorman is 1972848711. It was assigned to this individual provider in the NPPES registry on December 5, 2012.

Where is Douglas Gorman located?

Douglas Gorman practices at 6323 Memorial Hwy Bldg A, Tampa, FL 33615. The listed phone number is (813) 891-9474.

What is Douglas Gorman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Douglas Gorman enrolled in Medicare?

Yes. Douglas Gorman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Douglas Gorman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Gorman reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Gorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Gorman accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Harvard Pilgrim Health Care and 3 other insurers list Douglas Gorman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Gorman was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.