Active NPI
Kelly Kemp, M. ED., LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1235526674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH5038
- Practice address
- 222 W Comstock Ave Ste 112
Winter Park, FL 32789-4272 - Phone
- (407) 792-2969
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH5038 | FL | Primary |
Addresses
Primary practice location
222 W Comstock Ave Ste 112
Winter Park, FL 32789-4272
Mailing address
PO Box 986
Winter Park, FL 32790-0986
Phone (407) 690-3431
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH5038 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1235526674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327900986",
"telephone_number": "407-690-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W COMSTOCK AVE STE 112",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894272",
"telephone_number": "407-792-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "KELLY",
"credential": "M. ED., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH5038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.