Individual provider Active NPI

Kathryn Worley, LMFT

  • Marriage & Family Therapist
  • Fernandina Beach, FL
National Provider Identifier
1043580137
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4976 Issued in FL
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

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4976FLMDMarriage & Family Therapist
MFT002249GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Home Care Advantage, Inc PastSince Oct 5, 2025 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.

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

Verify at the official NPI Registry.