Active NPI
Katia M. Hildebert, LMHC
- Mental Health Counselor
- Palm Springs, FL
National Provider Identifier
1538404355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10741
- Practice address
- 2945 S Congress Ave Ste E
Palm Springs, FL 33461-2168 - Phone
- (561) 654-9428
- NPI assigned
- Dec 5, 2012
- Last updated
- Apr 26, 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 | MH10741 | FL | Primary |
Addresses
Primary practice location
2945 S Congress Ave Ste E
Palm Springs, FL 33461-2168
Mailing address
1041 45TH St
West Palm Beach, FL 33407-2402
Phone (561) 383-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH10741 | Other | FL | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| MH10741 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Connections, LLC | Mental Health | Current | Accepting new patients |
| Psywell, LLC | Mental Health | Past | Accepting new patients |
Locations
2945 S Congress Ave
Ste E
Palm Springs, FL 33461
Phone (561) 654-9428
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Palm Springs, FL
- NPI 1669957205
-
dba Psychological Wellness Center
- Clinical Psychologist
- Greenacres, FL
- NPI 1386289601
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1538404355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072402",
"telephone_number": "561-383-8000",
"fax_number": "631-383-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 S CONGRESS AVE STE E",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612168",
"telephone_number": "561-654-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBERT",
"first_name": "KATIA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "MH10741",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.