Kathleen Reed Kafantaris, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15241 Issued in FL

Practice address

8825 Perimeter Park Blvd Ste 301
Jacksonville, FL 32216-1112

Phone

(904) 517-9531

Fax

(904) 490-9650

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Elizabeth Reed Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KK Counseling PLLC

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1780305284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1306994736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5773 ALAMOSA CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322583101",
            "telephone_number": "904-517-9531",
            "fax_number": "904-490-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161112",
            "telephone_number": "904-517-9531",
            "fax_number": "904-490-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 County Road 210 W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "32259",
            "country_code": "US",
            "telephone_number": "904-450-8120",
            "fax_number": "904-230-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAFANTARIS",
        "first_name": "KATHLEEN",
        "middle_name": "REED",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "904-490-9650",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "8825 Perimeter Park Blvd Ste 301",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322161112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "REED",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aravind Babu Kadiyala, MD
• Amy L. Kadlubowski, ARNP-BC
• Kaecyn Behavioral Health Services LLC
• Gurjit Kaeley, MD
• Manjit Kaur Kaeley, ARNP
• Antoni Kafrouni Gerges, M.D.
• Abdallah I Kafrouni, M.D.
• Nicole Kahhan
• Christopher Kahl
• Danielle Kahl, L.M.H.C.

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, 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 Nov 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.