Individual provider Active NPI

Kathryn Wich, M.ED./ED.S., LMHC

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1265848246
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14365 Issued in FL
Practice address
1111 SE Federal Hwy Ste 230
Stuart, FL 34994-3834
Phone
(772) 221-4088
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 MH14365 FL Primary

Addresses

Primary practice location

1111 SE Federal Hwy Ste 230
Stuart, FL 34994-3834

Mailing address

1111 SE Federal Hwy Ste 230
Stuart, FL 34994-3834
Phone (772) 221-4088

Other names 1

  • Katie Rogers Former name

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 Education

State licenses

LicenseStateTypeSpecialty
MH14365FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon of Treasure Coast, Inc. CurrentSince Sep 23, 2021 Accepting new patients
New Horizons of the Treasure Coast Inc PastSince Dec 22, 2019 Accepting new patients

Locations

1111 SE Federal Hwy
Ste 230
Stuart, FL 34994
Phone (772) 221-4088

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1265848246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY STE 230",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943834",
            "telephone_number": "772-221-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY STE 230",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943834",
            "telephone_number": "772-221-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICH",
        "first_name": "KATHRYN",
        "credential": "M.ED./ED.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ROGERS",
            "credential": "M.ED./ED.S., LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.