Organization Active NPI

Deniele L Degryse, LMHC PA

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1689125445
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9065 Issued in FL
Legal business name
DENIELE L DEGRYSE, LMHC PA
Practice address
1495 Forest Hill Blvd Ste G
West Palm Beach, FL 33406-6073
Phone
(561) 635-4143
Fax
(561) 433-3596
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Deniele Degryse, LMHC
Title
Owner
Phone
(561) 635-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH9065 FL Primary

Addresses

Primary practice location

1495 Forest Hill Blvd Ste G
West Palm Beach, FL 33406-6073

Mailing address

1495 Forest Hill Blvd Ste G
West Palm Beach, FL 33406-6073
Phone (561) 635-4143

Other identifiers 1

IdentifierTypeStateIssuer
1023276094OtherFLNPI

National Provider Directory

National Provider Directory

Locations

1495 Forest Hill Blvd
Ste G
West Palm Beach, FL 33406
Phone (561) 635-4143

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1689125445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 FOREST HILL BLVD STE G",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066073",
            "telephone_number": "561-635-4143",
            "fax_number": "561-433-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 FOREST HILL BLVD STE G",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066073",
            "telephone_number": "561-635-4143",
            "fax_number": "561-433-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIELE L DEGRYSE, LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DEGRYSE",
        "authorized_official_first_name": "DENIELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-635-4143",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023276094",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.