Individual provider Active NPI

Kathryn Kominars, PH.D.

  • Counseling Psychologist
  • Ft Lauderdale, FL
National Provider Identifier
1649218157
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5569 Issued in FL
Practice address
915 Middle River Dr
Galleria Professional Building, Suite 307
Ft Lauderdale, FL 33304-3544
Phone
(954) 566-2166
Fax
(954) 566-1186
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5569 FL Primary

Addresses

Primary practice location

915 Middle River Dr
Galleria Professional Building, Suite 307
Ft Lauderdale, FL 33304-3544

Mailing address

915 Middle River Dr
Galleria Professional Building, Suite 307
Ft Lauderdale, FL 33304-3544
Phone (954) 566-2166

Other identifiers 1

IdentifierTypeStateIssuer
54398OtherFLBC/BS NUMBER

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5569FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Las Olas Psychological Group Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649218157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "address_2": "GALLERIA PROFESSIONAL BUILDING, SUITE 307",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043544",
            "telephone_number": "954-566-2166",
            "fax_number": "954-566-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "address_2": "GALLERIA PROFESSIONAL BUILDING, SUITE 307",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043544",
            "telephone_number": "954-566-2166",
            "fax_number": "954-566-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMINARS",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "5569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "54398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.