KATHARINE ANN COUVILLON (NPI# 1598267353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598267353 |
| Entity Type | Individual |
| Full Name | KATHARINE ANN COUVILLON |
| Practice Address |
103b Lewis St Fort Walton Beach FL 32547-3142 |
| Mailing Address |
333 Shannon Ct Nw Fort Walton Beach FL 32548-4129 |
| Practice Telephone | 8508037377 |
| Mailing Telephone | 8508658660 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH16831 | FL | Behavioral Health & Social Service Providers |
| Street Address |
103B LEWIS ST |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326323759 | Kayla Marie Chevannes | Behavioral Analyst | 103b Lewis St, Fort Walton Beach, FL 32547-3142 | 2011-10-17 |
| 1437711306 | Stephanie Brooks | Behavior Technician | 103b Lewis St, Fort Walton Beach, FL 32547-3142 | 2019-07-01 |
| 1326555418 | Evan Norris | Behavior Technician | 103b Lewis St, Fort Walton Beach, FL 32547-3142 | 2018-01-10 |
| 1164939005 | Sean Christopher Reid | Behavior Technician | 103b Lewis St, Fort Walton Beach, FL 32547-3142 | 2017-12-31 |
| 1073020913 | Gavin Payne Wolfe | Behavior Technician | 103b Lewis St, Fort Walton Beach, FL 32547-3142 | 2017-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813808 | Amanda Rollins Dobler | Counselor | 107 Hughes St Ne, Fort Walton Beach, FL 32548-4455 | 2018-03-07 |
| 1003358185 | Melody Ray | Counselor | 350 Hollywood Blvd Se, Fort Walton Beach, FL 32548-5772 | 2016-11-07 |
| 1225585300 | Nancy Lynn Wess I | Counselor | 210 Watson Dr Nw, Fort Walton Beach, FL 32548-4238 | 2016-09-06 |
| 1497132450 | David I Copeland | Counselor | 348 Miracle Strip Pkwy Sw Ste 3, Fort Walton Beach, FL 32548-5253 | 2015-04-29 |
| 1588914006 | Shevon L. Peet | Counselor | 7 Vine Street, Fort Walton Beach, FL 32548-5070 | 2012-09-12 |
| 1730456393 | Rebekah Elizabeth Boes | Counselor | 128 Shell Ave Se, Fort Walton Beach, FL 32548-5543 | 2011-11-28 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| 1205142742 | Ashley Lynne Brown | Counselor | 113 Hollywood Blvd Nw, Suite 205, Fort Walton Beach, FL 32548-4723 | 2010-08-22 |
| 1811173214 | Ann E Imburgio | Counselor | 11 1st St Se, Fort Walton Beach, FL 32548-5839 | 2008-01-15 |
| 1922201755 | Melanie Cassulo | Counselor | 326 Harbor Pl Sw, Fort Walton Beach, FL 32548-6504 | 2007-06-08 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on KATHARINE ANN COUVILLON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.