Individual provider Active NPI

Susan Nelson Kiley, L.M.H.C

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1043260417
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2665 Issued in FL
Practice address
1425 Aurora Rd
Melbourne, FL 32935-5384
Phone
(321) 242-3110
Fax
(321) 242-7464
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH2665 FL Primary

Addresses

Primary practice location

1425 Aurora Rd
Melbourne, FL 32935-5384

Mailing address

930 Falls TRL
Malabar, FL 32950-6810
Phone (321) 724-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH2665FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Brevard Women'S Center, Inc Mental Health Past Accepting new patients
Paula Deforest PHD LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043260417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FALLS TRL",
            "city": "MALABAR",
            "state": "FL",
            "postal_code": "329506810",
            "telephone_number": "321-724-4969",
            "fax_number": "321-242-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 AURORA RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355384",
            "telephone_number": "321-242-3110",
            "fax_number": "321-242-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "SUSAN",
        "middle_name": "NELSON",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.