Carpenter House Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CARPENTER HOUSE INC.

Practice address

1234 Elderflower Dr
Niceville, FL 32578-3425

Phone

(850) 897-7810

Fax

(850) 897-0032

NPI assigned

Dec 28, 2015

Last updated

Jul 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathlyn C White, LMFT, LMHCNPI 1588615850

Title

President

Phone

(850) 897-7810

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathlyn Campbell White, LMHC, LMFT

  • Marriage & Family Therapist
  • Niceville, FL
  • NPI 1588615850
  Medicare reassignment Authorized official
• Ruby Lisa Hawkins-Jack, LCSW

  • Clinical Social Worker
  • Niceville, FL
  • NPI 1619233566
  Medicare reassignment
• Andrea Renea Hefner, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Crestview, FL
  • NPI 1164209334
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1982069480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5383",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325785383",
            "telephone_number": "850-217-7810",
            "fax_number": "850-897-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 ELDERFLOWER DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783425",
            "telephone_number": "850-897-7810",
            "fax_number": "850-897-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2024-07-06",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-897-7810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camelot Healthcare Management Inc (Suncare Respiratory Service)
• Baylee Campanella, BCBA
• Linconyer Campbell-Baldwin
• Carey C. Hicks
• Mason Douglas Carnley, APRN, FNP-C
• Kelsey Carr
• Kaitlyn Carter, PT, DPT, NTMTC
• Karen Henard Carter, D.C.
• Johanna Lewis Cary, PT
• Larry James Casey, D.D.S.

• Marriage & Family Therapist in Niceville, FL
• Providers in Niceville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.