Active NPI
Kylie Meyer
- Art Therapist
- Stuart, FL
National Provider Identifier
1154809572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 265364
- Practice address
- 275 NW Flagler Ave Apt 401
Stuart, FL 34994-1160 - Phone
- (859) 250-6898
- Fax
- (859) 212-9270
- NPI assigned
- Jul 30, 2018
- Last updated
- Jul 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | ||
| Art Therapist | 221700000X | 265364 | KY | Primary |
Addresses
Primary practice location
275 NW Flagler Ave Apt 401
Stuart, FL 34994-1160
Mailing address
275 NW Flagler Ave Apt 401
Stuart, FL 34994-1160
Phone (859) 250-6898
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
| License | State | Type | Specialty |
|---|---|---|---|
| 265364 | KY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients | |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients | |
| Hope Behavioral Health, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthKey Community Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, KY
- NPI 1578527610
-
dba Northkey Community Care
- Psychiatric Hospital
- Covington, KY
- NPI 1679775514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1154809572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 NW FLAGLER AVE APT 401",
"city": "STUART",
"state": "FL",
"postal_code": "349941160",
"telephone_number": "859-250-6898",
"fax_number": "859-212-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 NW FLAGLER AVE APT 401",
"city": "STUART",
"state": "FL",
"postal_code": "349941160",
"telephone_number": "859-250-6898",
"fax_number": "859-212-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "KYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "KY",
"license": "265364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.