Kelly Marie Lehman, LPC, M.ED, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5131 Issued in NC

Practice address

11576 Gallatin TRL
Parrish, FL 34219-2392

Phone

(813) 563-5299

NPI assigned

Jul 21, 2006

Reactivated

May 11, 2023

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

Other identifiers 2

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• Carolina Psychological and Psychiatric Health SRVS, PA

  • Psychologist
  • Jacksonville, NC
  • NPI 1770561193

  Professional

  NPD (past)
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1366462145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 GALLATIN TRL",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342192392",
            "telephone_number": "813-563-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Country Club Rd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466008",
            "country_code": "US",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC, M.ED, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "deactivation_date": "2022-01-30",
        "reactivation_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "5131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "142CX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103060",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshni Marballi Leboutillier, DO
• Amanda Bryn Lee, ARNP
• Legacy Healthcare Inc
• Legacy Healthcare Inc
• Legacy Healthcare Inc
• Brittney Leibham
• Deborah A Lenart, MD
• Amy L Lewis, PA-C
• Carol S Lewis, PA
• Rose Andree Lexima Joseph

• Counselor in Parrish, FL
• Providers in Parrish, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.