Individual provider Active NPI

Katia M. Hildebert, LMHC

  • Mental Health Counselor
  • Palm Springs, FL
National Provider Identifier
1538404355
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10741 Issued in FL
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MH10741OtherFLPROFESSIONAL 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

LicenseStateTypeSpecialty
MH10741FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.