Individual provider Active NPI

Katherine Moncrief, MS, LMHC

  • Mental Health Counselor
  • Greenacres, FL
National Provider Identifier
1235811779
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24615 Issued in FL
Practice address
6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone
(561) 207-7625
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 MH24615 FL Primary

Addresses

Primary practice location

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979

Mailing address

16950 N Bay Rd Apt 2310
Sunny Isles Beach, FL 33160-4249
Phone (305) 397-6168

Other identifiers 1

IdentifierTypeStateIssuer
IMH23311OtherFLREGISTERED MENTAL HEALTH COUNSELOR INTERN

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH24615FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psywell, LLC Mental Health CurrentSince Nov 13, 2024 Accepting new patients

Locations

6803 Lake Worth Rd
#215
Greenacres, FL 33467
Phone (561) 207-7625

6803 Lake Worth Rd
Ste 215
Greenacres, FL 33467
Phone (561) 207-7625

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1235811779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 N BAY RD APT 2310",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604249",
            "telephone_number": "305-397-6168",
            "fax_number": "954-965-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-207-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "IMH23311",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.