Katharine Ann Couvillon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH16831 Issued in FL

Practice address

103B Lewis St
Fort Walton Beach, FL 32547-3142

Phone

(850) 803-7377

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bayou Wellness of Northwest Florida, LLCGroup PAC ID 4587085444, 6 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.

• Bayou Wellness of Northwest Florida, LLC

  • Counselor
  • Pensacola, FL
  • NPI 1841778636
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1598267353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SHANNON CT NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484129",
            "telephone_number": "850-865-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103B LEWIS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473142",
            "telephone_number": "850-803-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVILLON",
        "first_name": "KATHARINE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Marie-Rose Corn, RBT
• Glenn Cottrill
• Rachel L Couch, ARNP
• Counseling Inc., Dba Alliance Counseling
• Bridget Counterman, RN
• Covenant Hospice Inc
• Caroline Elizabeth Cox, OTR/L
• John David Cox Jr., RN
• Jon Calvin Cox, PA
• Shane Aaron Cox

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, 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 Mar 7, 2018; 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.