Individual provider Active NPI

Kelly Lepore, LMHC

  • Mental Health Counselor
  • Estero, FL
National Provider Identifier
1255979043
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16441 Issued in FL
Practice address
20070 Seagrove St Unit 1907
Estero, FL 33928-7727
Phone
(708) 254-0009
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16441 FL Primary

Addresses

Primary practice location

20070 Seagrove St Unit 1907
Estero, FL 33928-7727

Mailing address

20070 Seagrove St Unit 1907
Estero, FL 33928-7727
Phone (708) 254-0009

Other identifiers 1

IdentifierTypeStateIssuer
16441OtherFLLMHC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Estero Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27716 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16441FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Health Inc CurrentSince Jun 21, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Partners in Medicine & Surgery, P.a. PastSince Jun 21, 2024 Accepting new patients

Locations

5125 Castello Dr
Naples, FL 34103
Phone (813) 590-6717

27716 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 406-4835

Interoperability endpoints

  • Direct secure messaging: kellylepore@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1255979043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20070 SEAGROVE ST UNIT 1907",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287727",
            "telephone_number": "708-254-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20070 SEAGROVE ST UNIT 1907",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287727",
            "telephone_number": "708-254-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "KELLY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "16441",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Estero",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Estero",
            "address_1": "20070 Seagrove St Unit 1907",
            "city": "Estero",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339287727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.