Kdilly Foundation, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KDILLY FOUNDATION, INC.

Practice address

2759 State Road 580 Ste 111
Clearwater, FL 33761-3352

Phone

(727) 866-4682

Fax

(727) 380-5684

NPI assigned

May 8, 2026

Organization subpart

No

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

Authorized official

Name

Tracy L Sisk, LMHCNPI 1063924603

Title

Executive/Clinical Director

Phone

(727) 866-4682

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Sisk, LMHCA

  • Mental Health Counselor
  • Everett, WA
  • NPI 1063924603
  NPD Authorized official

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1144158411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 STATE ROAD 580 STE 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-866-4682",
            "fax_number": "727-380-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 STATE ROAD 580 STE 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-866-4682",
            "fax_number": "727-380-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDILLY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "727-866-4682",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart A. Kauffman, D.O.
• Aaron Peter Kaufman, PT
• Brigitte Kay
• Michael Owen Kayatta, M.D.
• Kayla Rutkoski, DO PLLC
• Nicole Keane
• Jennifer R Kearns, OTD, OTR/L
• Cesar James Keathley, DMD
• Keats Family Vision PA
• Christopher Kuechle Keats, O.D.

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, 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 May 8, 2026; 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.