Individual provider Active NPI

Lynn A Pomeroy III, LMHC(I)

  • Mental Health Counselor
  • Lake Worth, FL
National Provider Identifier
1720740046
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH21658 Issued in FL
Practice address
7138 Lake Worth Rd Ste D
Lake Worth, FL 33467-2970
Phone
(561) 288-0377
Fax
(561) 423-3900
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 IMH21658 FL Primary

Addresses

Primary practice location

7138 Lake Worth Rd Ste D
Lake Worth, FL 33467-2970

Mailing address

7138 Lake Worth Rd Ste D
Lake Worth, FL 33467-2970
Phone (561) 288-0377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@new-reflection-counseling.com Direct

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
I20260415004162 FL Practitioner - Mental Health Counselor 5092281253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1375 Gateway Blvd
Boynton BCH, FL 33426-8304

38621 B Ave
Zephyrhills, FL 33542-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH21658FLMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: info@new-reflection-counseling.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1720740046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 LAKE WORTH RD STE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672970",
            "telephone_number": "561-288-0377",
            "fax_number": "561-423-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 LAKE WORTH RD STE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672970",
            "telephone_number": "561-288-0377",
            "fax_number": "561-423-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "LYNN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMHC(I)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@new-reflection-counseling.com",
            "affiliation": "N",
            "endpointDescription": "info@new-reflection-counseling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7138 Lake Worth Rd Ste D",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.