Individual provider Active NPI

Courtney Maxwell Cavall, LHMC

  • Mental Health Counselor
  • Zephyrhills, FL
National Provider Identifier
1326354424
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10216 Issued in FL
Practice address
4803 Seaberg Rd
Zephyrhills, FL 33541-2862
Phone
(954) 649-6592
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH10216 FL Primary

Addresses

Primary practice location

4803 Seaberg Rd
Zephyrhills, FL 33541-2862

Mailing address

4803 Seaberg Rd
Zephyrhills, FL 33541-2862
Phone (954) 649-6592

Other identifiers 2

IdentifierTypeStateIssuer
024451900OtherFLMEDICAID 907 - SPECIALIZED THERAPEUTIC SERVICE.
024475500OtherFLMEDICAID-39-BEHAVIOR ANALYSIS.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH10216FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Cavall LMHC LLC Mental Health Current 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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1326354424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 SEABERG RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335412862",
            "telephone_number": "954-649-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 SEABERG RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335412862",
            "telephone_number": "954-649-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALL",
        "first_name": "COURTNEY",
        "middle_name": "MAXWELL",
        "credential": "LHMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID  907 - SPECIALIZED THERAPEUTIC SERVICE.",
            "identifier": "024451900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-39-BEHAVIOR ANALYSIS.",
            "identifier": "024475500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.