Individual provider Active NPI

Karin R Witte, LMHC

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1689835274
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13488 Issued in FL
Practice address
54 Misty Meadow Dr
Boynton Beach, FL 33436-8922
Phone
(561) 866-6689
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 MH13488 FL Primary

Addresses

Primary practice location

54 Misty Meadow Dr
Boynton Beach, FL 33436-8922

Mailing address

54 Misty Meadow Dr
Boynton Beach, FL 33436-8922
Phone (415) 235-2691

Other practice location 1

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444

Other identifiers 1

IdentifierTypeStateIssuer
1689835274MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250227003780 FL Practitioner - Mental Health Counselor 4385164714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Psychiatric Services IncGroup PAC ID 2860879293, 20 clinicians

Practice addresses (Care Compare)

2900 N University Dr
Suite 15
Coral Springs, FL 33065-5083
Phone (561) 241-6628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH13488FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Psychiatric Services Inc CurrentSince Feb 25, 2025 Accepting new patients

Locations

2900 N University Dr
Ste 15
Coral Springs, FL 33065
Phone (561) 241-6628

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1689835274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MISTY MEADOW DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368922",
            "telephone_number": "415-235-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MISTY MEADOW DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368922",
            "telephone_number": "561-866-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 Arlington Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781132",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE",
        "first_name": "KARIN",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689835274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.