Active NPI
Katelyn Macias
- Mental Health Counselor
- Port Saint Lucie, FL
National Provider Identifier
1467318576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH27545
- Practice address
- 9965 S US Highway 1
112
Port Saint Lucie, FL 34952 - Phone
- (772) 618-0847
- Fax
- (772) 618-0847
- NPI assigned
- Jan 2, 2026
- Last updated
- Jan 2, 2026
- 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 | IMH27545 | FL | Primary |
Addresses
Primary practice location
9965 S US Highway 1
112
Port Saint Lucie, FL 34952
Mailing address
9965 S US Highway 1
112
Port Saint Lucie, FL 34952
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 |
|---|---|---|---|
| IMH27545 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1467318576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9965 S US HIGHWAY 1",
"address_2": "112",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9965 S US HIGHWAY 1",
"address_2": "112",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-618-0847",
"fax_number": "772-618-0847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-02",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH27545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.