Active NPI
Peter Joseph Nathan, MS
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1477138733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH20766
- Practice address
- 5200 East Ave
West Palm Beach, FL 33407-2374 - Phone
- (844) 321-7936
- Fax
- (561) 841-1100
- NPI assigned
- Mar 17, 2021
- Sex
- Male
- 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 | IMH20766 | FL | Primary |
Addresses
Primary practice location
5200 East Ave
West Palm Beach, FL 33407-2374
Mailing address
5200 East Ave
West Palm Beach, FL 33407-2374
Phone (844) 321-7936
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH20766 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1477138733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 EAST AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072374",
"telephone_number": "844-321-7936",
"fax_number": "561-841-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 EAST AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072374",
"telephone_number": "844-321-7936",
"fax_number": "561-841-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "PETER",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH20766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Maria Elena Nasiff, DNP-APRN
- Joseph A. Nasser, DDS
- Mayassar Nasser
- Michael Vito Nastase, DNP, APRN, PMHNP-BC
- Natalie Sohn MD PA
- National Alliance on Mental Illness of Palm Beach County
- National Medical Services II Inc.
- National Mentor Health Care LLC
- National Mentor Healthcare LLC
- National Orthopedic Assistant, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.