Katrina Kielbowicz, LMHC,LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13501 Issued in FL

Practice address

1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032

Phone

(407) 443-2923

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1942782602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26563",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322266563",
            "telephone_number": "407-443-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERPLACE BLVD STE 800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079032",
            "telephone_number": "407-443-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELBOWICZ",
        "first_name": "KATRINA",
        "credential": "LMHC,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3701",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Kare of Jacksonville FL, Inc.
• Kids and Families Medical Clinic LLC
• Kids First Dentistry,Inc
• Victor Kiebalo, MD
• John Michael Kiel, DO
• Daniel John Kieleszewski, APRN
• Charles Kiely, LMT
• Guy Dingess Kiely, LMT
• Kiely, Jeremiah, & Barberis, PA
• Michael Drew Kight, P,A.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.