Individual provider Active NPI

Nathaniel Webster, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1356833925
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15695 Issued in FL
Practice address
531 Versailles Dr Ste 100
Maitland, FL 32751-4591
Phone
(747) 263-2789
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 15695 FL Primary

Addresses

Primary practice location

531 Versailles Dr Ste 100
Maitland, FL 32751-4591

Mailing address

531 Versailles Dr Ste 100
Maitland, FL 32751-4591
Phone (747) 263-2789

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

State licenses

LicenseStateTypeSpecialty
15695FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Freedom, LLC Current Accepting new patients
The Lifeworks Group, Inc. Mental Health Past Accepting new patients

Locations

531 Versailles Dr
Ste 100
Maitland, FL 32751
Phone (407) 342-5227

Organizations & group practices 2

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1356833925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 VERSAILLES DR STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514591",
            "telephone_number": "747-263-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 VERSAILLES DR STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514591",
            "telephone_number": "747-263-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "NATHANIEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.