Active NPI
Kathy Lanthorne, BS MS LMHC
- Mental Health Counselor
- Edgewater, FL
National Provider Identifier
1790629145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 27090
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27090 | FL | MD | Mental 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.