Active NPI
Katie Jo Larkin, M.ED, LMHC
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1760044614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17110
- Practice address
- 5200 East Ave
West Palm Beach, FL 33407-2374 - Phone
- (561) 841-1000
- Fax
- (561) 841-1100
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- 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 | 17110 | FL | Primary |
Addresses
Primary practice location
5200 East Ave
West Palm Beach, FL 33407-2374
Mailing address
933 45TH St
Mangonia Park, FL 33407-2413
Other practice location 1
933 45th St
Mangonia Park, FL 33407-2413
Phone (561) 841-1000
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17110 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Good Life Treatment Center, LLC | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- North Palm Beach, FL
- NPI 1730546854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1760044614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 45TH ST",
"city": "MANGONIA PARK",
"state": "FL",
"postal_code": "334072413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 EAST AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072374",
"telephone_number": "561-841-1000",
"fax_number": "561-841-1100"
}
],
"practiceLocations": [
{
"address_1": "933 45th St",
"address_purpose": "LOCATION",
"city": "Mangonia Park",
"state": "FL",
"postal_code": "334072413",
"country_code": "US",
"telephone_number": "561-841-1000",
"fax_number": "561-841-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARKIN",
"first_name": "KATIE",
"middle_name": "JO",
"credential": "M.ED, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "17110",
"primary": true
}
],
"identifiers": [],
"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 Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.