Kenya Nicole Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61444 Issued in TX

Practice address

111 N Orange Ave Ste 812
Orlando, FL 32801-2316

Phone

(888) 904-5636

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenya.nelson.2@27760.direct.athenahealth.com
• Direct secure messaging: kenyanelson@tdh.allscriptsdirect.net

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.

• Prosperity Rising Homes LLC

  • Case Management Agency
  • Fort Worth, TX
  • NPI 1952158826

  Multi-Specialty

  Medicare reassignment NPD
• Millennial Therapy Services, PLLC

  • Mental Health Counselor
  • Lancaster, TX
  • NPI 1558936658
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1265089320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 FLOWER RIDGE DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751341662",
            "telephone_number": "469-265-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ORANGE AVE STE 812",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012316",
            "telephone_number": "888-904-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 Kirby Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770983985",
            "country_code": "US",
            "telephone_number": "888-904-5636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3017 Douglas Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613850",
            "country_code": "US",
            "telephone_number": "888-904-5636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 S Monroe St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323011529",
            "country_code": "US",
            "telephone_number": "888-904-5636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11816 Inwood Rd # 3303",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752448011",
            "country_code": "US",
            "telephone_number": "469-215-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11408 Lake Sherwood Ave N Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708160421",
            "country_code": "US",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KENYA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61444",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "135608",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18636",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Maureen Lawyer Nelson, PHARM D, BCOP
• Jennifer Nelson, M.D.
• Julia Nelson
• Juliet Nelson
• Katherine Nelson
• Maggie Justine Nelson, LCSW
• Michael Nelson
• Michael Jay Nelson, ATHLETIC TRAINER
• Mirlande Nelson, COSMETOLOGIST
• Nataya M. Nelson, CRNA

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.