Individual provider Active NPI

Kathy L Dorch

  • Mental Health Counselor
  • Spring Hill, FL
National Provider Identifier
1982732004
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 11059 Issued in FL
Practice address
17901 Caufield Rd
Spring Hill, FL 34610-3013
Phone
(850) 712-6699
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Mental Health Counselor 101YM0800X MH 11059 FL Primary
Professional Counselor 101YP2500X 2012029826 MO

Addresses

Primary practice location

17901 Caufield Rd
Spring Hill, FL 34610-3013

Mailing address

RR 3 Box 9177
Doniphan, MO 63935-8758
Phone (850) 712-6699

Other identifiers 1

IdentifierTypeStateIssuer
761376800MedicaidFL

Other names 1

  • Kathy L West Professional name

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
MH 11059FLMDMental Health Counselor
2012029826MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1982732004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 9177",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639358758",
            "telephone_number": "850-712-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 CAUFIELD RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346103013",
            "telephone_number": "850-712-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCH",
        "first_name": "KATHY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11059",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012029826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761376800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "WEST",
            "middle_name": "L",
            "credential": "ED.D, LMHC, LPC,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.