Individual provider Active NPI

Alicja M Karnas, IMH 19391

  • Mental Health Counselor
  • Port St Joe, FL
National Provider Identifier
1790310845
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
212 W. Highway 98
Suite C Town Centre Plaza
Port St. Joe, FL 32456
Phone
(850) 705-1766
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 Primary

Addresses

Primary practice location

212 W. Highway 98
Suite C Town Centre Plaza
Port St. Joe, FL 32456

Mailing address

212 W. Highway 98
Suite C Town Centre Plaza
Port St. Joe, FL 32456
Phone (850) 705-1766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Health Care Connection, LLC Mental Health CurrentSince Mar 22, 2020 Accepting new patients

Locations

212 W Highway 98
#C
Port St Joe, FL 32456
Phone (850) 209-2423

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1790310845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W. HIGHWAY 98",
            "address_2": "SUITE C TOWN CENTRE PLAZA",
            "city": "PORT ST. JOE",
            "state": "FL",
            "postal_code": "32456",
            "telephone_number": "850-705-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W. HIGHWAY 98",
            "address_2": "SUITE C TOWN CENTRE PLAZA",
            "city": "PORT ST. JOE",
            "state": "FL",
            "postal_code": "32456",
            "telephone_number": "850-705-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNAS",
        "first_name": "ALICJA",
        "middle_name": "M",
        "credential": "IMH 19391",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Joe, FL

Sources for this page

Verify at the official NPI Registry.