Mary Kathleen Lichtenwalter, LMHC, CAP, CCS - Medicare Counselor in Port Orange, FL

Mary Kathleen Lichtenwalter, LMHC, CAP, CCS is a medicare enrolled "Counselor - Mental Health" provider in Port Orange, Florida. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is 3930 S Nova Rd Ste 307, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 795-7996.

Mary Kathleen Lichtenwalter is licensed to practice in Florida (license number MH10712) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326104001.

Contact Information

Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
3930 S Nova Rd Ste 307,
Port Orange, FL 32127-9293
(386) 795-7996
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMary Kathleen Lichtenwalter
GenderFemale
SpecialityMental Health Counselor
Experience20 Years
Location3930 S Nova Rd Ste 307, Port Orange, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Kathleen Lichtenwalter graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1326104001
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 10/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577669803
  • Enrollment ID: I20240826004338

Medical Identifiers

Medical identifiers for Mary Kathleen Lichtenwalter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326104001NPI-NPPES
200196900AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAC 870056A (Indiana)Secondary
101YM0800XCounselor - Mental Health 39001980A (Indiana)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CAP 5276 (Florida)Secondary
101YM0800XCounselor - Mental Health MH10712 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Kathleen Lichtenwalter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
1910 Marilyn St,
Daytona Beach, FL 32118-5123

Ph: (386) 795-7996
Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
3930 S Nova Rd Ste 307,
Port Orange, FL 32127-9293

Ph: (386) 795-7996

Reviews and Comments


Counselor in Port Orange, FL

Kathleen Gless, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 900 N Swallow Tail Dr, Port Orange, FL 32129
Phone: 386-333-9717    
Zoe Lyon-goldman,
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 8 Raintree Dr, Port Orange, FL 32127
Phone: 407-451-7145    
Marilourdes Perez, MA, LMHC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 3930 S Nova Rd Ste 303, Port Orange, FL 32127
Phone: 386-310-7436    Fax: 386-259-6112
Elaine Barnicle, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5484 Trakia Trl, Port Orange, FL 32128
Phone: 386-366-4344    
Amanda Rudd Bonnell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 823 Dunlawton Ave Ste A, Port Orange, FL 32127
Phone: 877-823-4283    
Daniel Fleishman,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6709 Ferri Circle, Port Orange, FL 32128
Phone: 386-299-7626    
Katherine Redman,
Counselor
Medicare: Medicare Enrolled
Practice Location: 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129
Phone: 386-333-9717    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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