Kelly John Mulroy, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 9046 Issued in FL

Practice address

3632 Land O'Lakes Blvd
Suite 106
Land O'Lakes, FL 34639

Phone

(813) 765-2748

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Par Counseling Services, LLC

  • Mental Health Counselor
  • Land O Lakes, FL
  • NPI 1144579509
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1154521151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 LAND O'LAKES BLVD",
            "address_2": "SUITE 106",
            "city": "LAND O'LAKES",
            "state": "FL",
            "postal_code": "34639",
            "telephone_number": "813-765-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 LAND O'LAKES BLVD",
            "address_2": "SUITE 106",
            "city": "LAND O'LAKES",
            "state": "FL",
            "postal_code": "34639",
            "telephone_number": "813-765-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULROY",
        "first_name": "KELLY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Strides Rehabilitation Inc.
• Great Strides Rehabilitation Inc.
• Caren L. Jordan, MS, CCC. SLP
• Larimore Homecare
• Mind, Body & Modern Medicine, LLC

• Mental Health Counselor in Land O'Lakes, FL
• Providers in Land O'Lakes, 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 Aug 9, 2012; 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.