Active NPI
Kalene Noelle Reidell
- Counselor
- Orlando, FL
National Provider Identifier
1396486189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG61283691
- Practice address
- 5768 S Semoran Blvd
Orlando, FL 32822-4818 - Phone
- (407) 896-2323
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61283691 | FL | Primary |
Addresses
Primary practice location
5768 S Semoran Blvd
Orlando, FL 32822-4818
Mailing address
1015 Laughing Gull Dr
Satellite Beach, FL 32937-5539
Phone (570) 412-2682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMHP.0100133 | Other | FL | CMHP |
Other names 1
- Kalene Noelle Buss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61283691 | FL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Community Services of Western Washington | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bremerton, WA
- NPI 1427580646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1396486189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 LAUGHING GULL DR",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329375539",
"telephone_number": "570-412-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5768 S SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328224818",
"telephone_number": "407-896-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDELL",
"first_name": "KALENE",
"middle_name": "NOELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "FL",
"license": "CG61283691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMHP",
"identifier": "CMHP.0100133",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KALENE",
"last_name": "BUSS",
"middle_name": "NOELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.