Kristi Noelle Lewis
Individual provider Active NPI Mental Health Counselor · Shalimar, FL
NPI 1144957929 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1144957929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH20999 (FL)
- Practice address
- 1045 10TH St
Shalimar, FL 32579-1984 - Phone
- (850) 218-0881
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH20999 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | MH20999 | FL | Yes |
Addresses
Primary practice location
1045 10TH St
Shalimar, FL 32579-1984
Mailing address
1045 10TH St
Shalimar, FL 32579-1984
Phone (850) 218-0881
Other providers in Shalimar, FL
- Dillon Komula
- Jovanna Rose Kupetz
- April W Lee
- Tiffany Michelle Leeth
- Bishop Aspen Levy
- Amanda Liles
- Hannah Elizabeth Lillis
- Brittani Lutz-Midthun
- Hannah Maksimovic
- Lorena Davis Manning
All providers in Shalimar, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.