Kathleen Anderson, LMHC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH4062 Issued in FL

Legal business name

KATHLEEN ANDERSON, LMHC, LLC

Practice address

9140 Golfside Dr
Suite 12N
Jacksonville, FL 32256-1881

Phone

(904) 638-9140

Fax

(904) 701-6249

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Kathleen Anne Anderson, LMHC

Title

Owner

Phone

(904) 327-7192

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1811309925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 GOLFSIDE DR",
            "address_2": "SUITE 12N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561881",
            "telephone_number": "904-638-9140",
            "fax_number": "904-701-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 GOLFSIDE DR",
            "address_2": "SUITE 12N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561881",
            "telephone_number": "904-638-9140",
            "fax_number": "904-701-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN ANDERSON, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-327-7192",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH4062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003958400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Elizabeth Kastner, MD
• Margaret Ann Kaszycki, MD
• Katahdin Emergency Physicians LLC
• Kayla Katalinich
• Katherine L Billingsley MD PA
• Eugene Katibah, DDS
• Sarah L Katsaras, PT
• Katscott LLC
• Jennifer Grace Katsolis, DO
• Shalika Basnayake Katugaha, MD

• Professional Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.