NPIMap

Organization Active NPI

Kathleen Cazenavette

  • Community/Behavioral Health Agency
  • Destin, FL
National Provider Identifier
1750824090
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH14574 Issued in FL
Legal business name
KATHLEEN CAZENAVETTE
Practice address
137 Crystal Beach Dr Ste 137-C
Destin, FL 32541
Phone
(850) 226-7100
NPI assigned
Nov 18, 2016
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Mary Kathleen Hensley, LMHCNPI 1568951176
Title
Mental Health Therapist
Phone
(850) 226-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH14574 FL Primary

Addresses

Primary practice location

137 Crystal Beach Dr Ste 137-C
Destin, FL 32541

Mailing address

4507 Furling LN Ste 212
Destin, FL 32541-5343
Phone (850) 226-7100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1750824090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 FURLING LN STE 212",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415343",
            "telephone_number": "850-226-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CRYSTAL BEACH DR STE 137-C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-226-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN CAZENAVETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "850-226-7100",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH14574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.