Active NPI
Lynn Arthur McKim, MS
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1316997802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 7291
- Practice address
- 1720 W Fairfield Dr
Plaza BLDG Ste 301
Pensacola, FL 32501-1052 - Phone
- (850) 434-6774
- Fax
- (850) 434-6784
- NPI assigned
- May 12, 2006
- Sex
- Male
- 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 | MH 7291 | FL | Primary |
Addresses
Primary practice location
1720 W Fairfield Dr
Plaza BLDG Ste 301
Pensacola, FL 32501-1052
Mailing address
1720 W. Fairfield Drive
Plaza BLDG Ste 301
Pensacola, FL 32501
Phone (850) 434-6774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231873 | Other | FL | HEALTHEASE - INDIVIDUAL |
| 266591 | Other | FL | HEALTHEASE - PRACTICE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 7291 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurturing Counseling Center | Mental Health | 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": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1316997802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 W. FAIRFIELD DRIVE",
"address_2": "PLAZA BLDG STE 301",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32501",
"telephone_number": "850-434-6774",
"fax_number": "850-434-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 W FAIRFIELD DR",
"address_2": "PLAZA BLDG STE 301",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011052",
"telephone_number": "850-434-6774",
"fax_number": "850-434-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIM",
"first_name": "LYNN",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 7291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE - INDIVIDUAL",
"identifier": "231873",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE - PRACTICE",
"identifier": "266591",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.