Individual provider Active NPI

Lynne Adel Kikawa, LMHC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1215128483
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH1888 Issued in FL
Practice address
2256 Winter Woods Blvd
Winter Park, FL 32792-1955
Phone
(407) 740-7105
Fax
(407) 740-0372
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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 MH1888 FL Primary

Addresses

Primary practice location

2256 Winter Woods Blvd
Winter Park, FL 32792-1955

Mailing address

2256 Winter Woods Blvd
Winter Park, FL 32792-1955
Phone (407) 740-7105

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
MH1888FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eap Group, Inc Past Accepting new patients
Turning Point of Central Florida 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1215128483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 WINTER WOODS BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921955",
            "telephone_number": "407-740-7105",
            "fax_number": "407-740-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 WINTER WOODS BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921955",
            "telephone_number": "407-740-7105",
            "fax_number": "407-740-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKAWA",
        "first_name": "LYNNE",
        "middle_name": "ADEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.