Mary Kathleen Lichtenwalter, LMHC, CAP, CCS
Mary Kathleen Lichtenwalter, LMHC, CAP, CCS is a Mental Health Counselor in Port Orange, Florida. Qualified in 2006, 20 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida and Indiana.
- Years since qualifying
- 20
- Licensed in
- FL, IN
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- LMHC — Licensed Mental Health Counselor
- A licensed mental health counsellor; the title used in Florida, New York and Washington among others.
Practice location Address checks out
3930 S Nova Rd Ste 307Port Orange, FL 32127-9293
Phone: (386) 795-7996
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MH10712 (FL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence LCAC 870056A (IN) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 39001980A (IN) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence CAP 5276 (FL) |
Record details
| NPI number | 1326104001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMHC , CAP , CCS |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2006 |
| Last updated in NPPES | October 15, 2025 |
| Certification date | October 15, 2025 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Port Orange
-
Miausette Valerie Antoine, MSS, CAP
3928 S Nova Rd, Port Orange, FL 32127-4911 · (386) 822-9941
-
MS. Sarah Joyce Eckard, MSW
3928 S Nova Rd, Port Orange, FL 32127-4911 · (368) 822-9941
-
Mr. Jonathan Richard Nelson III, LCSW, MCAP
900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103 · (386) 333-9717
-
Makayla Ann Okeefe, CAP
942 Smokerise Blvd, Port Orange, FL 32127-7940 · (386) 334-8864
-
Miss. Mariona Stephens
3928 S Nova Rd, Port Orange, FL 32127-4911 · (844) 845-0338