Jill Kahli

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MT3773 Issued in FL

Practice address

599 Celebration PL
Celebration, FL 34747-4943

Phone

(407) 401-2935

NPI assigned

Jan 25, 2020

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Psychology of Original Love Counseling, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Celebration, FL
  • NPI 1053927319
  NPD Authorized official

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1104456409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 CELEBRATION PL",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474943",
            "telephone_number": "407-401-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 CELEBRATION PL",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474943",
            "telephone_number": "407-401-2935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 Irma Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328033853",
            "country_code": "US",
            "telephone_number": "321-234-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHLI",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tykema Octavia Johnson, DNP-APRN
• Matthew W Johnston, D.O.
• Crystal Jones, APRN
• Kajessa Danielange Joseph, APRN
• Samuel Judd, BCBA
• Eric F Kaiser, MD
• Hilaree F Kasper, PA-C
• Keiler Heberto Moreno Rivero, P.a.
• William Michael Kelley, R.C.E.P.
• Kay Thi Khine

• Mental Health Counselor in Celebration, FL
• Providers in Celebration, 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 Dec 24, 2020; 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.