Individual provider Active NPI

Kathleen F Triebwasser, LMFT LMHC CCMHC

  • Counselor
  • Jacksonville, FL
National Provider Identifier
1912913237
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MT1685 MH3580 Issued in FL
Practice address
8301 Cypress Plaza Dr
St, 109
Jacksonville, FL 32256-4420
Phone
(904) 641-4600
Fax
(904) 542-9800
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MT1685 MH3580 FL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

8301 Cypress Plaza Dr
St, 109
Jacksonville, FL 32256-4420

Mailing address

8301 Cypress Plaza Dr
St, 109
Jacksonville, FL 32256-4420
Phone (904) 641-4600

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
MT1685 MH3580FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912913237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 CYPRESS PLAZA DR",
            "address_2": "ST, 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564420",
            "telephone_number": "904-641-4600",
            "fax_number": "904-542-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 CYPRESS PLAZA DR",
            "address_2": "ST, 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564420",
            "telephone_number": "904-641-4600",
            "fax_number": "904-542-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEBWASSER",
        "first_name": "KATHLEEN",
        "middle_name": "F",
        "credential": "LMFT LMHC CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MT1685 MH3580",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.