Individual provider Active NPI

Christine Joan Lewis, LMHC, NCC, CCMHC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1063659498
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11032 Issued in FL
Practice address
3501 W Vine St
Suite 340
Kissimmee, FL 34741-4643
Phone
(321) 746-0486
Fax
(321) 746-0486
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11032 FL Primary

Addresses

Primary practice location

3501 W Vine St
Suite 340
Kissimmee, FL 34741-4643

Mailing address

3501 W Vine St
Suite 340
Kissimmee, FL 34741-4643
Phone (321) 746-0486

Other identifiers 2

IdentifierTypeStateIssuer
805-007-250OtherFLFARS RATER ID
802-013-500OtherCFARS RATER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH11032FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1063659498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST",
            "address_2": "SUITE 340",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414643",
            "telephone_number": "321-746-0486",
            "fax_number": "321-746-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST",
            "address_2": "SUITE 340",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414643",
            "telephone_number": "321-746-0486",
            "fax_number": "321-746-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHRISTINE",
        "middle_name": "JOAN",
        "credential": "LMHC, NCC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FARS RATER ID",
            "identifier": "805-007-250",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFARS RATER ID",
            "identifier": "802-013-500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.