Individual provider Active NPI

Neidy Hernandez Kelly, MA, NCC, LPC, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1194416685
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26887 Issued in FL
Practice address
25 N Market St
Jacksonville, FL 32202-2802
Phone
(904) 717-2340
Fax
(904) 717-2340
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8368 SC
Mental Health Counselor 101YM0800X MH26887 FL Primary
Professional Counselor 101YP2500X 11544 SC

Addresses

Primary practice location

25 N Market St
Jacksonville, FL 32202-2802

Mailing address

12529 Yellow Bluff Rd Ste 6-229
Jacksonville, FL 32226-3809
Phone (904) 717-2340

Other practice location 1

1122 Lady St
Columbia, SC 29201-3218
Phone (904) 717-2340

Other identifiers 1

IdentifierTypeStateIssuer
PC3353MedicaidSC

Other names 1

  • Ms. Neidy M. Hernandez Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH26887FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Know Pressure Counseling & Consulting LLC Mental Health Current Accepting new patients
Know Pressure Counseling & Consulting LLC Mental Health CurrentSince Nov 18, 2025 Accepting new patients

Locations

25 N Market St
Jacksonville, FL 32202
Phone (818) 613-6769

7825 Baymeadows Way
Jacksonville, FL 32256
Phone (904) 717-2340

12529 Yellow Bluff Rd
Ste 6229
Jacksonville, FL 32226

4320 Deerwood Lake Pkwy
Ste 101422
Jacksonville, FL 32216
Phone (904) 717-2340

961 Roberts Branch Pkwy
Ste 106156
Columbia, SC 29203
Phone (904) 717-2340

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1194416685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12529 YELLOW BLUFF RD STE 6-229",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322263809",
            "telephone_number": "904-717-2340",
            "fax_number": "904-717-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MARKET ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022802",
            "telephone_number": "904-717-2340",
            "fax_number": "904-717-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Lady St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013218",
            "country_code": "US",
            "telephone_number": "904-717-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NEIDY",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8368",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26887",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC3353",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEIDY",
            "last_name": "HERNANDEZ",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "MA, NCC, LPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.