Individual provider Active NPI

Brian Killian, LMHC/CAP

  • Addiction (Substance Use Disorder) Counselor
  • Largo, FL
National Provider Identifier
1124207790
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP 1206 Issued in FL
Practice address
1501 Belcher Rd S
Suite B-4
Largo, FL 33771-4505
Phone
(727) 420-1146
Fax
(727) 531-0950
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 1206 FL Primary
Mental Health Counselor 101YM0800X MH7746 FL

Addresses

Primary practice location

1501 Belcher Rd S
Suite B-4
Largo, FL 33771-4505

Mailing address

1501 Belcher Rd S
Suite B-4
Largo, FL 33771-4505
Phone (727) 420-1146

Other identifiers 2

IdentifierTypeStateIssuer
1206OtherFLCAP
MH7746OtherFLLMHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAP 1206FLMDAddiction (Substance Use Disorder) Counselor
MH7746FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1124207790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BELCHER RD S",
            "address_2": "SUITE B-4",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714505",
            "telephone_number": "727-420-1146",
            "fax_number": "727-531-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BELCHER RD S",
            "address_2": "SUITE B-4",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714505",
            "telephone_number": "727-420-1146",
            "fax_number": "727-531-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "BRIAN",
        "credential": "LMHC/CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 1206",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "1206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH7746",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.