Individual provider Active NPI

Katherine D Webb

  • Mental Health Counselor
  • Haines City, FL
National Provider Identifier
1891133732
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
360 South 10 Street Suite a
Suite a
Haines City, FL 33844
Phone
(321) 442-6665
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

360 South 10 Street Suite a
Suite a
Haines City, FL 33844

Mailing address

360 South 10 Street Suite a
Suite a
Haines City, FL 33844
Phone (321) 442-6665

Other practice location 1

3544 Edgewater Dr
Orlando, FL 32804-2922
Phone (954) 410-3482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003070 FL Practitioner - Marriage and Family Therapist 5991154098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingram and Associates Counseling and Consulting IncGroup PAC ID 9830548189, 3 clinicians

Practice addresses (Care Compare)

1402 Royal Palm Beach Blvd
Suite 400B
Royal Palm Beach, FL 33411-1692
Phone (561) 792-9242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ingram and Associates Counseling and Consulting, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1402 Royal Palm Beach Blvd
Ste 400B
Royal Palm Beach, FL 33411
Phone (561) 792-9242

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.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1891133732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SOUTH 10 STREET SUITE A",
            "address_2": "SUITE A",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "321-442-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SOUTH 10 STREET SUITE A",
            "address_2": "SUITE A",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "321-442-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3544 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328042922",
            "country_code": "US",
            "telephone_number": "954-410-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.