Katelyn E Lynch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH23694 Issued in FL

Practice address

533 N Nova Rd
Ormond Beach, FL 32174-4447

Phone

(386) 264-5848

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1316695877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E PALM ST",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321104004",
            "telephone_number": "386-212-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744447",
            "telephone_number": "386-264-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KATELYN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LP Ormond Beach LLC
• Carole Eag Luby, ED.D., LMHC
• Arthur Lukasiewicz, ACUPUNCTURIST
• Jenell Lunn
• Lauri Ann Lupoli, OTR/L
• Michael Francis Lynch, DPT
• Whittney Lynch, NP
• M.W. Ladwig, L.M.H.C., Inc.
• M&C Signature, LLC
• Lisa Mary Macgovern, LMT

• Mental Health Counselor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.