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

Mary Kathleen Lichtenwalter, LMHC, CAP, CCS is a Counselor - Mental Health based in Port Orange, Florida. Mary Kathleen Lichtenwalter is licensed to practice in Florida (license number MH10712) and her current practice location is 1730 Dunlawton Ave, Suite #3, Port Orange, Florida. She can be reached at her office (for appointments etc.) via phone at (386) 957-3905.

NPI number for Mary Kathleen Lichtenwalter is 1326104001 and her current mailing address is 1730 Dunlawton Ave, Suite#3, Port Orange, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326104001.

Contact Information

Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
1730 Dunlawton Ave, Suite #3,
Port Orange, FL 32127-8985
(386) 957-3905
(386) 402-8992

Map and Direction


Healthcare Provider's Profile

Full NameMary Kathleen Lichtenwalter
GenderFemale
SpecialityCounselor - Mental Health
Location1730 Dunlawton Ave, Port Orange, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326104001
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 12/18/2015

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

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 NOT enrolled with medicare and thus cannot 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
1730 Dunlawton Ave, Suite#3,
Port Orange, FL 32127-8985

Ph: (386) 957-3905
Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
1730 Dunlawton Ave, Suite #3,
Port Orange, FL 32127-8985

Ph: (386) 957-3905

Reviews and Comments


Counselor in Port Orange, FL

Zoe Lyon-goldman,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8 Raintree Dr, Port Orange, FL 32127
Phone: 407-451-7145    
Marilourdes Perez, MA, LMHC
Counselor
Medicare: Not Enrolled in Medicare
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    
Katherine Raymond,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 38 Lindy Loop, Port Orange, FL 32128
Phone: 561-284-5426    

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