Kristy M. Ford, PH.D, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 12046 Issued in FL

Practice address

5137 Menawa TRL
Marianna, FL 32446-0148

Phone

(850) 573-2080

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Female

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hope Springs Counseling Group

  • Mental Health Counselor
  • Marianna, FL
  • NPI 1952840076
  NPD (past) Authorized official

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1356888754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 MENAWA TRL",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460148",
            "telephone_number": "850-573-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 MENAWA TRL",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460148",
            "telephone_number": "850-573-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KRISTY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Corrections
• Florida Department of Health (Jackson County Health Department)
• Florida Em-I Medical Services, PA
• Florida Therapy Services, Inc
• Focus Physical Therapy and Work Rehab Center, LLC
• Four Seasons Counseling,LLC
• Donna Fowler, DNP, NP-C, FNP-BC
• Ft Walton Open MRI LLC (Airis Open MRI of Marianna)
• Harrison Matthew Fuqua, MD
• Gainesville Vamc

• Mental Health Counselor in Marianna, FL
• Providers in Marianna, 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 Jan 23, 2017; 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.