Individual provider Active NPI

Kajessa Danielange Joseph, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1043931462
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11021311 Issued in FL
Practice address
1530 Celebration Blvd Ste 405
Celebration, FL 34747-5165
Phone
(833) 769-3524
Fax
(321) 233-9959
NPI assigned
Sep 5, 2022
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11021311 FL Primary

Addresses

Primary practice location

1530 Celebration Blvd Ste 405
Celebration, FL 34747-5165

Mailing address

1530 Celebration Blvd Ste 405
Celebration, FL 34747-5165
Phone (833) 769-3524

Other practice location 1

1059 Blackwolf Run Rd
Champions Gate, FL 33896-7951
Phone (407) 485-1632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230417002890 FL Practitioner - Nurse Practitioner 3274908645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

321 W Oak St
Lifestance Health
Kissimmee, FL 34741-4421
Phone (407) 537-9452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11021311FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince May 15, 2023 Accepting new patients

Locations

1530 Celebration Blvd
Ste 405
Kissimmee, FL 34747
Phone (321) 559-7015

321 W Oak St
Kissimmee, FL 34741
Phone (321) 594-5801

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kajessajoseph@141363.advancedmd-direct.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1043931462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 405",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "833-769-3524",
            "fax_number": "321-233-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 405",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "833-769-3524",
            "fax_number": "321-233-9959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1059 Blackwolf Run Rd",
            "address_purpose": "LOCATION",
            "city": "Champions Gate",
            "state": "FL",
            "postal_code": "338967951",
            "country_code": "US",
            "telephone_number": "407-485-1632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KAJESSA",
        "middle_name": "DANIELANGE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11021311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.