Michael Joseph Kyser

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17136 Issued in FL

Practice address

669 Duncan Cir W
Auburndale, FL 33823-9711

Phone

(863) 397-8003

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1427608306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 DUNCAN CIR W",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338239711",
            "telephone_number": "863-397-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 DUNCAN CIR W",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338239711",
            "telephone_number": "863-397-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYSER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkyser@meadowbrookcentre.org",
            "affiliation": "N",
            "endpointDescription": "Meadowbrook Wellness",
            "address_1": "669 Duncan Cir W",
            "city": "Auburndale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338239711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Auburndale, FL
• Providers in Auburndale, 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 Sep 12, 2019; 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.