NPI Code Detail JSON Logo

1306879416 NPI number — CAROL JAYNE KATLER LMHC

NPI Number: 1306879416
Health Care Provider/Practitioner: CAROL JAYNE KATLER LMHC

Information about “1306879416” NPI (CAROL JAYNE KATLER LMHC) exists in 1306879416 in HTML format HTML  |  1306879416 in plain Text format TXT  |  1306879416 in PDF (Portable Document Format) PDF  |  1306879416 in an XML format XML  formats.

NPI Number : 1306879416 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306879416",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KATLER",
    "FirstName": "CAROL",
    "MiddleName": "JAYNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VEREBAY",
    "OtherFirstName": "CAROL",
    "OtherMiddleName": "JAYNE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2955 NW 126TH AVE",
    "SecondLineMailingAddress": "UNIT 302",
    "MailingAddressCityName": "SUNRISE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33323",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-937-7007",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "940 E CYPRESS CREEK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT LAUDERDALE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33334",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-937-7007",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/09/2006",
    "LastUpdateDate": "10/13/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH0004317",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "MH4317",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.