Individual provider Active NPI

Kristina Lee Dygulski, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1124531124
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14925 Issued in FL
Practice address
1645 Palm Beach Lakes Boulevard, Suite 1203
West Palm Beach, FL 33401-2204
Phone
(561) 351-6227
Fax
(864) 288-7978
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X MH14925 FL Primary

Addresses

Primary practice location

1645 Palm Beach Lakes Boulevard, Suite 1203
West Palm Beach, FL 33401-2204

Mailing address

1645 Palm Beach Lakes Boulevard, Suite 1203
West Palm Beach, FL 33401-2204
Phone (561) 351-6227

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
MH14925FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center of Greenville, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1124531124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BOULEVARD, SUITE 1203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012204",
            "telephone_number": "561-351-6227",
            "fax_number": "864-990-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 PALM BEACH LAKES BOULEVARD, SUITE 1203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012204",
            "telephone_number": "561-351-6227",
            "fax_number": "864-288-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGULSKI",
        "first_name": "KRISTINA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.