Active NPI
Kathryn Lynn Walburn, LMHC
- Mental Health Counselor
- Palatka, FL
National Provider Identifier
1386705382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH2551
- Practice address
- 330 Kay Larkin Drive
Palatka, FL 32177 - Phone
- (386) 329-3780
- Fax
- (386) 329-3786
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH2551 | FL | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
330 Kay Larkin Drive
Palatka, FL 32177
Mailing address
330 Kay Larkin Drive
Palatka, FL 32177
Phone (386) 329-3780
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 763928700 | Medicaid | FL | |
| MH2551 | Other | FL | LICENSE # |
| 762256200 | Medicaid | FL | |
| Z3748 | Other | FL | BC/BS |
Other names 1
- Miss Kathryn Lynn Hyche
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 |
|---|---|---|---|
| MH2551 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1386705382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 KAY LARKIN DRIVE",
"city": "PALATKA",
"state": "FL",
"postal_code": "32177",
"telephone_number": "386-329-3780",
"fax_number": "386-329-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 KAY LARKIN DRIVE",
"city": "PALATKA",
"state": "FL",
"postal_code": "32177",
"telephone_number": "386-329-3780",
"fax_number": "386-329-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALBURN",
"first_name": "KATHRYN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH2551",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "763928700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "MH2551",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762256200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "Z3748",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "HYCHE",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.