MARY KATHLEEN LICHTENWALTER LMHC, CAP, CCS
NPI 1326104001
Counselor - Mental Health in Port Orange, FL
About Mary Kathleen Lichtenwalter Lmhc, Cap, Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHLEEN LICHTENWALTER LMHC, CAP, CCS (NPI 1326104001) is an individual mental health provider in Port Orange, Florida, licensed in Florida (MH10712) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Kathleen Lichtenwalter Lmhc, Cap, Ccs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ORANGE, FL 32127
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Lichtenwalter's NPI number?
The NPI number for Mary Lichtenwalter is 1326104001. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Mary Lichtenwalter located?
Mary Lichtenwalter practices at 3930 S Nova Rd Ste 307, Port Orange, FL 32127. The listed phone number is (386) 795-7996.
What is Mary Lichtenwalter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Lichtenwalter enrolled in Medicare?
Yes. Mary Lichtenwalter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Lichtenwalter accept?
Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mary Lichtenwalter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Lichtenwalter was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Kathleen Lichtenwalter, LMHC, CAP, CCS · NPI 1326104001
Mental Health provider in Port Orange, Florida. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1326104001 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH10712 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3930 S NOVA RD STE 307, Port Orange, FL 32127-9293
- **Phone:** (386) 795-7996
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 15, 2025
- **Other identifiers:** Medicaid 200196900A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1326104001) · Data from the CMS NPPES public registry.