Active NPI
Deborah Roberts Mouw, IMH
- Mental Health Counselor
- Boynton Beach, FL
National Provider Identifier
1366132136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH22744
- Practice address
- 8198 S Jog Rd Ste 201
Boynton Beach, FL 33472-6903 - Phone
- (561) 810-6631
- NPI assigned
- May 15, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH22744 | FL | Primary |
Addresses
Primary practice location
8198 S Jog Rd Ste 201
Boynton Beach, FL 33472-6903
Mailing address
3207 Perimeter Dr
Greenacres, FL 33467-2032
Phone (561) 578-1465
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH22744 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1366132136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 PERIMETER DR",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334672032",
"telephone_number": "561-578-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8198 S JOG RD STE 201",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334726903",
"telephone_number": "561-810-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUW",
"first_name": "DEBORAH",
"middle_name": "ROBERTS",
"credential": "IMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH22744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.