Barbara B Ketchum, LMHC LIC MENTAL HEAL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH2778 Issued in FL

Practice address

4375 US Highway 17
Suite 103
Fleming Island, FL 32003-4832

Phone

(904) 269-0886

Fax

(904) 269-0499

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1548312952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17",
            "address_2": "SUITE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-269-0886",
            "fax_number": "904-269-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17",
            "address_2": "SUITE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-269-0886",
            "fax_number": "904-269-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "BARBARA",
        "middle_name": "B",
        "credential": "LMHC LIC MENTAL HEAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lael Paschal Kaltz
• Shelby R Keller
• Paola Jetzabella Kennah, PA-C
• Elizabeth C. Kent, M.D.
• Niajah Kessler
• Richard William Keys, PT
• Lilit Khaikin
• Alexandra Kieweg, NP
• Emily Lorraine King, MS, CCC-SLP
• Roberta King, ROBERTA KING OTR/L

• Mental Health Counselor in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.