Priscilla Jean Kelly, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4236 Issued in FL

Practice address

1850 Lee Rd
Suite 215
Winter Park, FL 32789-2115

Phone

(321) 356-5115

Fax

(407) 645-1577

NPI assigned

Jun 19, 2007

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164627253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CEDAR OAK TRL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327502780",
            "telephone_number": "321-356-5115",
            "fax_number": "407-645-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD",
            "address_2": "SUITE 215",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892115",
            "telephone_number": "321-356-5115",
            "fax_number": "407-645-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PRISCILLA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Allan Keilman, LMHC
• Kaman Michelle Keller, APRN
• Kelley Eye, LLC
• Kaitlyn Kelley, OD
• Victoire Elite Kelley, MD
• Shannon Kelly, PSY.D.
• Jennifer M Kelsey, ARNP
• Kemeh Medical LLC
• Kamy Rae Kemp, MD
• Kelly Kemp, M. ED., LMHC

• Mental Health Counselor in Winter Park, FL
• Providers in Winter Park, 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 Jul 8, 2007; 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.