Individual provider Active NPI

Deborah Roberts Mouw, IMH

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1366132136
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH22744 Issued in FL
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

Updated by the provider on May 15, 2023

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 MULTIPLE SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
IMH22744FLMDMental 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.

Verify at the official NPI Registry.