Active NPI
Kristen Lewis
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1538812367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 23929924
- Practice address
- 2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931 - Phone
- (561) 616-8411
- NPI assigned
- Feb 1, 2022
- 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 | 23929924 | PA | Primary |
Addresses
Primary practice location
2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Mailing address
760 Glouchester St
Boca Raton, FL 33487-3210
Phone (267) 718-2378
Other names 1
- Kristen Moyer
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 |
|---|---|---|---|
| 23929924 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1538812367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 GLOUCHESTER ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873210",
"telephone_number": "267-718-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 FOREST HILL BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065931",
"telephone_number": "561-616-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "23929924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "MOYER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.