Active NPI
Kathryn Worley, LMFT
- Marriage & Family Therapist
- Fernandina Beach, FL
National Provider Identifier
1043580137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4976
- Practice address
- 1010 Atlantic Ave
Fernandina Beach, FL 32034-3669 - Phone
- (315) 885-3906
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT002249 | GA | |
| Marriage & Family Therapist | 106H00000X | 4976 | FL | Primary |
Addresses
Primary practice location
1010 Atlantic Ave
Fernandina Beach, FL 32034-3669
Mailing address
106 Washington St
Saint Marys, GA 31558-4417
Phone (315) 885-3906
Other practice location 1
106 Washington St
Saint Marys, GA 31558-4417
Phone (315) 885-3906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251118003395 | FL | Practitioner - Marriage and Family Therapist | 9234620162 | Practice locations: Fernandina Beach, FL |
| I20260306000237 | GA | Practitioner - Marriage and Family Therapist | 9234620162 | Practice locations: Saint Marys, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1010 Atlantic Ave
Fernandina Beach, FL 32034-3669
Phone (315) 885-3906
106 Washington St
Saint Marys, GA 31558-4417
Phone (315) 885-3906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4976 | FL | MD | Marriage & Family Therapist |
| MFT002249 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks Home Care Advantage, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Palatka, FL
- NPI 1255671129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1043580137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 WASHINGTON ST",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315584417",
"telephone_number": "315-885-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 ATLANTIC AVE",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320343669",
"telephone_number": "315-885-3906"
}
],
"practiceLocations": [
{
"address_1": "106 Washington St",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "GA",
"postal_code": "315584417",
"country_code": "US",
"telephone_number": "315-885-3906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORLEY",
"first_name": "KATHRYN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT002249",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "4976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.