Sophia Isabelle Kiri, M.ED, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19098 Issued in FL

Practice address

3110 Royal Windsor Dr
Edgewood, KY 41017-2629

Phone

(561) 577-6202

NPI assigned

May 3, 2021

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

Other names 1

• Mrs. Sophia Isabelle Besunder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1073196457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 ROYAL WINDSOR DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172629",
            "telephone_number": "561-577-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 ROYAL WINDSOR DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172629",
            "telephone_number": "561-577-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRI",
        "first_name": "SOPHIA",
        "middle_name": "ISABELLE",
        "credential": "M.ED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "BESUNDER",
            "middle_name": "ISABELLE",
            "prefix": "MRS.",
            "credential": "M.ED, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judy Kidwell, RBT
• Taylor Marie Kidwell, MS, BCBA, LBA
• David H Kim, DO
• Patricia Kinney, B.S. PHARM
• Aniket Kiri, DO
• Deborah J. Kirkland, OTL
• Michael Raymond Kirkwood, M.D.
• Caroline Margaret Kistler, NNP
• Michael Kenneth Kite, CRNA
• Justin L Klanke, MD

• Mental Health Counselor in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.