Individual provider Active NPI

Carol Herman Lewis, M.S.

  • Marriage & Family Therapist
  • Lake Worth, FL
National Provider Identifier
1346404860
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT294 Issued in FL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT294FLMDMarriage & 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.

Verify at the official NPI Registry.