Xavier Michael Kelly, IMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH26800 Issued in FL

Practice address

321 W Alfred St
Tavares, FL 32778-3205

Phone

(352) 577-9455

Fax

(352) 225-7244

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sowka Psychotherapy & Consultation LLC

  • Mental Health Counselor
  • Tavares, FL
  • NPI 1871226068
  NPD

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1346121035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783205",
            "telephone_number": "352-577-9455",
            "fax_number": "352-225-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783205",
            "telephone_number": "352-577-9455",
            "fax_number": "352-225-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "XAVIER",
        "middle_name": "MICHAEL",
        "credential": "IMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haseeb Ben Kazim, MD
• Chris Kechriotis, M.D.
• Christopher John Keeler, D.O.
• Leila M Keeler, D.O.
• Keller & Goodman MD, PA
• Mary Vanderheyden Kersey, RD
• Josie Makenna Key
• Sara Khalid, DO
• Nirvani Khan
• Shivam Kharod, M.D.

• Mental Health Counselor in Tavares, FL
• Providers in Tavares, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.