Kelli M. Cordis, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW13237 Issued in FL

Legal business name

KELLI M. CORDIS, LCSW

Practice address

1980 N Atlantic Ave
Suite 616
Cocoa Beach, FL 32931-5213

Phone

(773) 350-7602

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kelli M. Cordis, LCSW

Title

Therapist

Phone

(773) 350-7602

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1154794071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUNSET DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312729",
            "telephone_number": "773-350-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE",
            "address_2": "SUITE 616",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315213",
            "telephone_number": "773-350-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI M. CORDIS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "CORDIS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-350-7602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW13237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Jones, MD
• Joseph B. Glasner, M.D., P.a.
• Julia Elizabeth Joyner McTernan, M.A.
• Erin Jyot Kahlon, DDS
• Summerpal Singh Kahlon, MD
• Charles King, RPH
• Michele M Kirbach, LMT
• David Bryan Kirchofer, D.C.
• Dennis Kolsch, MA
• Elliot Harold Kornberg, M.D.

• Community/Behavioral Health Agency in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.