Active NPI
Carol Jayne Katler, LMHC
- Counselor
- Fort Lauderdale, FL
National Provider Identifier
1306879416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH4317
- Practice address
- 940 E Cypress Creek Rd
Fort Lauderdale, FL 33334 - Phone
- (954) 937-7007
- NPI assigned
- Jul 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0004317 | FL | |
| Counselor | 101Y00000X | MH4317 | FL | Primary |
Addresses
Primary practice location
940 E Cypress Creek Rd
Fort Lauderdale, FL 33334
Mailing address
2955 NW 126TH Ave
Unit 302
Sunrise, FL 33323
Phone (954) 937-7007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z062R | Other | FL | BLUE CROSS PROVIDER NUMBE |
Other names 1
- Ms. Carol Jayne Verebay
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 |
|---|---|---|---|
| MH4317 | FL | MD | Counselor |
| MH0004317 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- carolkatler@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1306879416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 NW 126TH AVE",
"address_2": "UNIT 302",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33323",
"telephone_number": "954-937-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E CYPRESS CREEK RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33334",
"telephone_number": "954-937-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATLER",
"first_name": "CAROL",
"middle_name": "JAYNE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0004317",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH4317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "Z062R",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "VEREBAY",
"middle_name": "JAYNE",
"prefix": "MS.",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.