Individual provider Active NPI

Mary Rebecca Dymond, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1902143852
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 11339 Issued in FL
Practice address
1815 Forest Hill Blvd
West Palm Beach, FL 33406-6021
Phone
(561) 386-0031
NPI assigned
Jan 12, 2013
Last updated
Jan 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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 MH 11339 FL Primary

Addresses

Primary practice location

1815 Forest Hill Blvd
West Palm Beach, FL 33406-6021

Mailing address

8531 Sun Up TRL
Boynton Beach, FL 33436-1512
Phone (561) 386-0031

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
I20260427003589 FL Practitioner - Mental Health Counselor 3577030543 Practice locations: North Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 US Hwy 1
Suite 201
North Palm Beach, FL 33408

745 US Hwy 1
Suite 201
North Palm Beach, FL 33408-4409
Phone (561) 386-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 11339FLMDMental Health Counselor

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": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1902143852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 SUN UP TRL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361512",
            "telephone_number": "561-386-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066021",
            "telephone_number": "561-386-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMOND",
        "first_name": "MARY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.