Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry Baumgartner

Individual provider Marriage & Family Therapist · NPI 1669828828

Larry Baumgartner is a Marriage and Family Therapist in St Augustine, Florida. Qualified in 2015, 11 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
11
Licensed in
FL, MN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

340 Paseo Reyes Dr
St Augustine, FL 32095-8464
Phone: (727) 946-1346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4400 Marsh Landing Blvd Ste 104, Ponte Vedra Beach, FL 32082-1287 — (727) 946-1346

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MT3602 (FL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 4370 (MN)

Record details

NPI number1669828828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 6, 2016
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address99 King St Unit 186, Saint Augustine, FL 32085-7708

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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