Active NPI
Thomas W Corwell, LMHC, LMFT
- Mental Health Counselor
- Deerfield Beach, FL
National Provider Identifier
1710043724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH165
- Practice address
- 1265 S Military TRL Ste 110
Deerfield Beach, FL 33442-7688 - Phone
- (954) 426-3262
- Fax
- (954) 917-5360
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH165 | FL | Primary |
Addresses
Primary practice location
1265 S Military TRL Ste 110
Deerfield Beach, FL 33442-7688
Mailing address
300 Lake Dr
Coconut Creek, FL 33066-1841
Phone (954) 426-3262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH165 | Other | FL | STATE LICENSE |
| MT153 | Other | FL | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH165 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710043724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LAKE DR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330661841",
"telephone_number": "954-426-3262",
"fax_number": "954-917-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S MILITARY TRL STE 110",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427688",
"telephone_number": "954-426-3262",
"fax_number": "954-917-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWELL",
"first_name": "THOMAS",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LMHC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MH165",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MT153",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.