Individual provider Active NPI

Holly Kegel, LMHC, LPC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1114238656
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25855 Issued in FL
Practice address
930 Alicia Rd
Lakeland, FL 33801-2104
Phone
(337) 693-5248
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6418-125 WI
Mental Health Counselor 101YM0800X MH25855 FL Primary

Addresses

Primary practice location

930 Alicia Rd
Lakeland, FL 33801-2104

Mailing address

930 Alicia Rd
Lakeland, FL 33801-2104
Phone (833) 769-3524

Other practice location 1

6525 Green Bay Rd Ste 2
Kenosha, WI 53142-2967
Phone (262) 789-1191

Other identifiers 2

IdentifierTypeStateIssuer
101YP2500XOtherWILPC
1114238656OtherWILPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240910003014 WI Practitioner - Mental Health Counselor 0547700148 Reassigns benefits to 1 organization
I20250806004199 FL Practitioner - Mental Health Counselor 0547700148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
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)

930 Alicia Rd
Lakeland, FL 33801-2104
Phone (863) 680-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6418-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Professional CurrentSince Jul 7, 2025 Accepting new patients
Cornerstone Counseling Services, Inc Mental Health CurrentSince Sep 26, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

930 Alicia Rd
Lakeland, FL 33801
Phone (863) 680-1950

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

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

6525 Green Bay Rd
Ste 2
Kenosha, WI 53142
Phone (262) 492-5276

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1114238656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ALICIA RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012104",
            "telephone_number": "833-769-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ALICIA RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012104",
            "telephone_number": "337-693-5248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6525 Green Bay Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531422967",
            "country_code": "US",
            "telephone_number": "262-789-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEGEL",
        "first_name": "HOLLY",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6418-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "101YP2500X",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1114238656",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.