Individual provider Active NPI

Kelsey Jo Penix, LPC, LMHC, LPCC

  • Mental Health Counselor
  • Navarre, FL
National Provider Identifier
1407376536
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25502 Issued in FL
Practice address
7552 Navarre Pkwy Unit 45
Navarre, FL 32566-7309
Phone
(810) 210-8857
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401017288 MI
Mental Health Counselor 101YM0800X CMH0211101 NM
School Counselor 101YS0200X PV0000000820594 MI
Mental Health Counselor 101YM0800X MH25502 FL Primary

Addresses

Primary practice location

7552 Navarre Pkwy Unit 45
Navarre, FL 32566-7309

Mailing address

7552 Navarre Pkwy Unit 45
Navarre, FL 32566-7309
Phone (810) 210-8857

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

LicenseStateTypeSpecialty
MH25502FLMDMental Health Counselor
6401017288MIMDMental Health Counselor
CMH0211101NMMDMental Health Counselor
PV0000000820594MIMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling and Consulting, LLC Current Accepting new patients
Kids Cove Counseling, PLLC Mental Health Current Accepting new patients

Locations

7552 Navarre Pkwy
Unit 45
Navarre, FL 32566
Phone (850) 684-1901

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1407376536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 45",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667309",
            "telephone_number": "810-210-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 45",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667309",
            "telephone_number": "810-210-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENIX",
        "first_name": "KELSEY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "LPC, LMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0211101",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "PV0000000820594",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.