Individual provider Active NPI

Walter Mariano Thamsten, LMHC

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1093296360
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10039 Issued in FL
Practice address
200 Congress Park Dr Ste 100
Delray Beach, FL 33445-4618
Phone
(954) 232-4695
NPI assigned
Aug 24, 2018
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 MH10039 FL Primary

Addresses

Primary practice location

200 Congress Park Dr Ste 100
Delray Beach, FL 33445-4618

Mailing address

1605 Renaissance Commons Blvd Apt 230
Boynton Beach, FL 33426-8283
Phone (954) 232-4695

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1375 Gateway Blvd
Boynton BCH, FL 33426-8304

38621 B Ave
Zephyrhills, FL 33542-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10039FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1093296360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 RENAISSANCE COMMONS BLVD APT 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268283",
            "telephone_number": "954-232-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONGRESS PARK DR STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454618",
            "telephone_number": "954-232-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMSTEN",
        "first_name": "WALTER",
        "middle_name": "MARIANO",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.