Individual provider Active NPI

Kathryn Grace Strickland, M.S., LMHC, MT-BC

  • Mental Health Counselor
  • Bristol, FL
National Provider Identifier
1124357264
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10164 Issued in FL
Practice address
12422 NW G T Revell Rd
Bristol, FL 32321-3007
Phone
(850) 573-4786
Fax
(850) 643-2061
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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 MH10164 FL Primary

Addresses

Primary practice location

12422 NW G T Revell Rd
Bristol, FL 32321-3007

Mailing address

12422 NW G T Revell Rd
Bristol, FL 32321-3007
Phone (850) 573-4786

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH10164FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone DJJ, LLC Past Accepting new patients
Bristol Youth Academy Past Accepting new patients

Organizations & group practices 2

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": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1124357264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12422 NW G T REVELL RD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213007",
            "telephone_number": "850-573-4786",
            "fax_number": "850-643-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12422 NW G T REVELL RD",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213007",
            "telephone_number": "850-573-4786",
            "fax_number": "850-643-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "KATHRYN",
        "middle_name": "GRACE",
        "credential": "M.S., LMHC, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.