Active NPI
Michelle Kais, LMFT
- Marriage & Family Therapist
- Royal Palm Beach, FL
National Provider Identifier
1316398142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3270
- Practice address
- 11440 Okeechobee Blvd Ste 211
Royal Palm Beach, FL 33411-8726 - Phone
- (561) 220-5138
- NPI assigned
- Jun 22, 2016
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Marriage & Family Therapist | 106H00000X | 3270 | FL | Primary |
Addresses
Primary practice location
11440 Okeechobee Blvd Ste 211
Royal Palm Beach, FL 33411-8726
Mailing address
3209 South Caroline Drive
Apt. 102
Jupiter, FL 33458
Phone (718) 309-6276
Other practice location 1
780 S Sapodilla Ave Apt 111
West Palm Beach, FL 33401-4160
Phone (561) 635-2700
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 |
|---|---|---|---|
| 3270 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- michellekais@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
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1316398142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 SOUTH CAROLINE DRIVE",
"address_2": "APT. 102",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "718-309-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 OKEECHOBEE BLVD STE 211",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334118726",
"telephone_number": "561-220-5138"
}
],
"practiceLocations": [
{
"address_1": "780 S Sapodilla Ave Apt 111",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334014160",
"country_code": "US",
"telephone_number": "561-635-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAIS",
"first_name": "MICHELLE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "3270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.