Individual provider Active NPI

Kathy Williams Beausejour, LMHC

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1275956906
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
23316 Issued in FL
Practice address
9133 Canopy Oak LN Apt 102
Riverview, FL 33578-4714
Phone
(727) 281-6458
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 23316 FL Primary

Addresses

Primary practice location

9133 Canopy Oak LN Apt 102
Riverview, FL 33578-4714

Mailing address

520 N Falkenburg Rd
Tampa, FL 33619-7884
Phone (727) 281-6458

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
23316FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Enrichment Through Mental Health Services, Inc 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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1275956906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197884",
            "telephone_number": "727-281-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 CANOPY OAK LN APT 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784714",
            "telephone_number": "727-281-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUSEJOUR",
        "first_name": "KATHY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "23316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.