Active NPI
Carol Herman Lewis, M.S.
- Marriage & Family Therapist
- Lake Worth, FL
National Provider Identifier
1346404860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT294
- Practice address
- 1415 N K St
Lake Worth, FL 33460-1816 - Phone
- (561) 582-6691
- Fax
- (561) 582-5161
- NPI assigned
- Jul 14, 2008
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT294 | FL | Primary |
Addresses
Primary practice location
1415 N K St
Lake Worth, FL 33460-1816
Mailing address
9625 N Military TRL
Palm Beach Gardens, FL 33410-5498
Phone (561) 626-3592
Other practice location 1
6340 W Boynton Beach Blvd
Boynton Beach, FL 33437-3506
Phone (561) 346-4161
Other practice location 2
1415 N K St
Lake Worth, FL 33460-1816
Phone (561) 582-6691
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 |
|---|---|---|---|
| MT294 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1346404860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 N MILITARY TRL",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334105498",
"telephone_number": "561-626-3592",
"fax_number": "561-626-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N K ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334601816",
"telephone_number": "561-582-6691",
"fax_number": "561-582-5161"
}
],
"practiceLocations": [
{
"address_1": "6340 W Boynton Beach Blvd",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334373506",
"country_code": "US",
"telephone_number": "561-346-4161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 N K St",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334601816",
"country_code": "US",
"telephone_number": "561-582-6691",
"fax_number": "561-582-5161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "CAROL",
"middle_name": "HERMAN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, 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.