Kisha Ann Alvarez, LMHC, CBHCMS
Individual provider Active NPI Mental Health Counselor · Enterprise, FL
NPI 1215337704 · NPPES record last updated Dec 6, 2019
Key facts
- NPI
- 1215337704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH17044 (FL)
- Practice address
- 51 Childrens Way
Enterprise, FL 32725-8135 - Phone
- (386) 668-4774
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH17044 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | MH17044 | FL | Yes |
Addresses
Primary practice location
51 Childrens Way
Enterprise, FL 32725-8135
Mailing address
51 Childrens Way
Enterprise, FL 32725-8135
Phone (386) 668-4774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH17044 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Other providers in Enterprise, FL
All providers in Enterprise, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.