Active NPI
Kathy Leigh Back, LMHC
- Mental Health Counselor
- Lake Worth, FL
National Provider Identifier
1407416209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4979
- Practice address
- 8461 Lake Worth Rd Ste 234
Lake Worth, FL 33467-2474 - Phone
- (561) 207-7625
- Fax
- (561) 828-8075
- NPI assigned
- Jun 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4979 | FL | Primary |
Addresses
Primary practice location
8461 Lake Worth Rd Ste 234
Lake Worth, FL 33467-2474
Mailing address
8461 Lake Worth Rd Ste 234
Lake Worth, FL 33467-2474
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 |
|---|---|---|---|
| MH4979 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Lawson PSYD | Past | Accepting new patients | |
| Psywell, LLC | Mental Health | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Lake Worth, FL
- NPI 1871068429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1407416209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8461 LAKE WORTH RD STE 234",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8461 LAKE WORTH RD STE 234",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672474",
"telephone_number": "561-207-7625",
"fax_number": "561-828-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACK",
"first_name": "KATHY",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.