Individual provider Active NPI

Kenny Londono, MS, LMFT

  • Marriage & Family Therapist
  • West Palm Beach, FL
National Provider Identifier
1407479496
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3506 Issued in FL
Practice address
8895 N Military TRL BLDG 2
West Palm Beach, FL 33410-6220
Phone
(917) 855-2799
Fax
(561) 828-9305
NPI assigned
May 25, 2020
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 002899 CT
Marriage & Family Therapist 106H00000X MT3506 FL Primary

Addresses

Primary practice location

8895 N Military TRL BLDG 2
West Palm Beach, FL 33410-6220

Mailing address

8895 N Military TRL BLDG 2
West Palm Beach, FL 33410-6220
Phone (917) 855-2799

Other practice location 1

12104 Ampersand Dr
Orlando, FL 32832-5157
Phone (407) 234-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812003306 FL Practitioner - Marriage and Family Therapist 0749788396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

101 N Monroe St
Suite 800 Private Office 860
Tallahassee, FL 32301-1570
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002899CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jun 8, 2025 Accepting new patients

Locations

1301 Riverplace Blvd
Jacksonville, FL 32207

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

Interoperability endpoints

  • Direct secure messaging: kennylondono@tdh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1407479496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL BLDG 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106220",
            "telephone_number": "917-855-2799",
            "fax_number": "561-828-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL BLDG 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106220",
            "telephone_number": "917-855-2799",
            "fax_number": "561-828-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12104 Ampersand Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328325157",
            "country_code": "US",
            "telephone_number": "407-234-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "KENNY",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "002899",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.