Individual provider Active NPI

Kathryn Lee Friedman, L.M.H.C.

  • Mental Health Counselor
  • Palm Beach Gardens, FL
National Provider Identifier
1639109986
Registry record updated Mar 30, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Apr 18, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3430 Issued in FL
Practice address
600 Santree Drive
Suite 108
Palm Beach Gardens, FL 33403
Phone
(561) 625-8806
Fax
(561) 658-8485
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 MH3430 FL Primary

Addresses

Primary practice location

600 Santree Drive
Suite 108
Palm Beach Gardens, FL 33403

Mailing address

600 Santree Drive
Suite 108
Palm Beach Gardens, FL 33403
Phone (561) 625-8806

Other names 1

  • Kathryn Lee Friedmam, M.S., Inc Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
MH3430FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1639109986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SANTREE DRIVE",
            "address_2": "SUITE 108",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-625-8806",
            "fax_number": "561-658-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANTREE DRIVE",
            "address_2": "SUITE 108",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-625-8806",
            "fax_number": "561-658-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FRIEDMAM, M.S., INC",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.