Katherine Kronquist Gackle, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT 2736 Issued in FL

Practice address

14401 Old Cutler Rd
Palmetto Bay, FL 33158-1722

Phone

(786) 573-7010

NPI assigned

Apr 3, 2012

Last updated

Dec 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspring Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmetto Bay, FL
  • NPI 1558686543

  Marriage & Family Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1366708422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 OLD CUTLER RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581722",
            "telephone_number": "786-573-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 OLD CUTLER RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581722",
            "telephone_number": "786-573-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACKLE",
        "first_name": "KATHERINE",
        "middle_name": "KRONQUIST",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Ibis Fundora
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• G&H Medical Equipment Inc
• Magdala Gachelin
• Douglas Gaitan, CRNA
• Francis Alida Galicia
• Gallos Medical Services Corp
• Nanette S Garavito, PA-C
• Luis Carlos Garces, RD/LDN

• Marriage & Family Therapist in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.