Individual provider Active NPI

Kaylee Nicole Brenneman, ED.S, M.ED., LMHC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1083381651
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21808 Issued in FL
Practice address
832 S Florida Ave
Lakeland, FL 33801-5202
Phone
(863) 274-2501
NPI assigned
Aug 23, 2021
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 MH21808 FL Primary

Addresses

Primary practice location

832 S Florida Ave
Lakeland, FL 33801-5202

Mailing address

832 S Florida Ave
Lakeland, FL 33801-5202
Phone (863) 944-3237

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212001629 FL Practitioner - Mental Health Counselor 0244719912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2174 Rainbower Dr
Lakeland, FL 33810-8213

541 W Park St
Lakeland, FL 33803-1231

832 S Florida Ave
Lakeland, FL 33801-5202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MH21808FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brenneman Counseling and Consulting LLC Mental Health CurrentSince Jun 4, 2023 Accepting new patients
Ascend Mind and Body of Wesley Chapel LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

500 S Florida Ave
Ste 408
Lakeland, FL 33801
Phone (863) 274-2501

832 S Florida Ave
Lakeland, FL 33801
Phone (863) 274-2501

27724 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 406-5029

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, 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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1083381651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-944-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-274-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "KAYLEE",
        "middle_name": "NICOLE",
        "credential": "ED.S, M.ED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.