Active NPI
Katheryn Elizabeth Winslow
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1295210458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16260
- Practice address
- 123 NW 13TH St Ste 300a
Boca Raton, FL 33432-1624 - Phone
- (561) 261-9388
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16260 | FL | Primary |
Addresses
Primary practice location
123 NW 13TH St Ste 300a
Boca Raton, FL 33432-1624
Mailing address
4145 Pinella Cir Apt 364
Palm Beach Gardens, FL 33410-6744
Phone (386) 795-4169
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH16260 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KB Miracles LLC | Current | 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.
-
- Behavior Analyst
- Palm Beach Gardens, FL
- NPI 1336762806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1295210458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 PINELLA CIR APT 364",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106744",
"telephone_number": "386-795-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 NW 13TH ST STE 300A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334321624",
"telephone_number": "561-261-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSLOW",
"first_name": "KATHERYN",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.