Kelly Sakala, M.ED., CRC, PVE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2632 SW Port St Lucie Blvd
Port St Lucie, FL 34953-2845

Phone

(561) 305-2607

NPI assigned

Mar 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1073044780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 SW GOODRICH ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832039",
            "telephone_number": "561-305-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532845",
            "telephone_number": "561-305-2607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Yamato Rd",
            "address_2": "suite 1240",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334314917",
            "country_code": "US",
            "telephone_number": "561-305-2607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKALA",
        "first_name": "KELLY",
        "credential": "M.ED., CRC, PVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Saint Hilaire
• Sergelyn Saint Jean I
• Juilene Saint Victor
• Alex B Saint-Jean, MS, RMHCI
• Liziana Rene Saintfleur, APRN,MSN, PMHNP-BC
• Sharon Renee Salas, LCSW
• Lourdes Socorro Salcedo de la Rosa
• Stephanie Saldivar
• Sherif Saleh
• Shideh Saleki

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.