Kathleen Patneau, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2317 Issued in FL

Practice address

4203 Belfort Rd Ste 250
Jacksonville, FL 32216-1416

Phone

(904) 308-3751

NPI assigned

Jun 26, 2008

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Marriage & Family Therapist, WI

  Medicare reassignment Care Compare group NPD
• Kathleen Patneau

  • Mental Health Counselor
  • Ponte Vedra, FL
  • NPI 1376271171
  NPD Authorized official
• Im Sulzbacher Center for the Homeless, Inc

  dba Sulzbacher Village Pediatric Health

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
  • NPI 1396369187
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1477715068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2711",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320042711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 BELFORT RD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161416",
            "telephone_number": "904-308-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000A Sawgrass Village Cir",
            "address_2": "Suite 12",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320825011",
            "country_code": "US",
            "telephone_number": "904-318-6412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATNEAU",
        "first_name": "KATHLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "MT2317",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways II Wellness Behavioral Health Solutions LLC
• Patience Love Care L.L.C
• Patient Care Labatories, Inc
• Patient Focus Physicians Associates Inc
• Patients Daily, LLC
• Madeline Paton, MD
• Robert Matthew Paton, MD
• Patricia a Harrison Inc.
• Patricia Jean Burns DO PA
• Patrick Bunyi MD LLC

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, 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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.