Gale Susanne Kelley, ED.D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10182 Issued in FL

Practice address

7282 55TH Ave E
Bradenton, FL 34203-8002

Phone

(941) 364-2221

NPI assigned

Apr 3, 2020

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

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1407485352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 55TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038002",
            "telephone_number": "941-364-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 55TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038002",
            "telephone_number": "941-364-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GALE",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "ED.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lindsey Caporaso Kazil, M.D.
• Christopher Keener, DO
• David A. Keener, RPH.
• Emma Keller, SLP
• Benjamin Michael Kelley, DO
• Rachel Lynn Kelley, DO
• Caitlin Leigh Kellogg, MA, SLP
• Dana Michelle Kelly, PA-C
• Daniel Kelsey, PHARM D
• Nicole R Kemper, LAT, ATC

• Mental Health Counselor in Bradenton, FL
• Providers in Bradenton, 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 Apr 3, 2020; 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.