Individual provider Active NPI

Catherine Calhoun Detko, LMHC, NCC, CP

  • Mental Health Counselor
  • Vero Beach, FL
National Provider Identifier
1326190711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH004677 Issued in FL
Practice address
2131 Seville Ave
Vero Beach, FL 32960-2975
Phone
(772) 567-1806
Fax
(772) 567-0524
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH004677 FL Primary

Addresses

Primary practice location

2131 Seville Ave
Vero Beach, FL 32960-2975

Mailing address

1870 N Lawnwood Cir
Fort Pierce, FL 34950-4828
Phone (772) 567-1806

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH004677FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326190711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504828",
            "telephone_number": "772-567-1806",
            "fax_number": "772-567-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 SEVILLE AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602975",
            "telephone_number": "772-567-1806",
            "fax_number": "772-567-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETKO",
        "first_name": "CATHERINE",
        "middle_name": "CALHOUN",
        "name_prefix": "Ms.",
        "credential": "LMHC, NCC, CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH004677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.