Individual provider Active NPI

Kim Carter Winokur, M.A.,IMH

  • Professional Counselor
  • New Smyrna Beach, FL
National Provider Identifier
1609292812
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13644 Issued in FL
Practice address
136 Julia St Unit 100
New Smyrna Beach, FL 32168-7713
Phone
(386) 423-9161
Fax
(386) 423-3094
NPI assigned
Mar 12, 2014
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH 11593 FL
Professional Counselor 101YP2500X IMH 11593 FL
Professional Counselor 101YP2500X 13644 FL Primary

Addresses

Primary practice location

136 Julia St Unit 100
New Smyrna Beach, FL 32168-7713

Mailing address

136 Julia St
New Smyrna Beach, FL 32168-7713
Phone (386) 423-9161

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH 11593FLMDMental Health Counselor
13644FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Carter Winokur, PA Professional Current Accepting new patients
Elpis Counseling LLC PastSince Jan 3, 2021 Accepting new patients
Refresh Health NP PastSince Jan 3, 2021 Accepting new patients

Locations

265 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 387-2202

136 Julia St
Unit 100
New Smyrna Beach, FL 32168
Phone (386) 423-9161

Organizations & group practices 3

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1609292812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JULIA ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JULIA ST UNIT 100",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER WINOKUR",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "M.A.,IMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 11593",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "IMH 11593",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "13644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.