Individual provider Active NPI

Kathy Lanthorne, BS MS LMHC

  • Mental Health Counselor
  • Edgewater, FL
National Provider Identifier
1790629145
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
27090 Issued in FL
Practice address
509 Live Oak St Ofc 1
Edgewater, FL 32132-1553
Phone
(386) 222-3011
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 27090 FL Primary

Addresses

Primary practice location

509 Live Oak St Ofc 1
Edgewater, FL 32132-1553

Mailing address

200 White Dove Ave
Orange City, FL 32763-4626
Phone (386) 227-6234

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

LicenseStateTypeSpecialty
27090FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1790629145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE DOVE AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327634626",
            "telephone_number": "386-227-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LIVE OAK ST OFC 1",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321553",
            "telephone_number": "386-222-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTHORNE",
        "first_name": "KATHY",
        "credential": "BS MS LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "27090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.