Individual provider Active NPI

Crystal Kehl, LPC

  • Mental Health Counselor
  • Temple Terrace, FL
National Provider Identifier
1477095651
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6312 Issued in ID
Practice address
5114 Gainsville Dr
Temple Terrace, FL 33617-1050
Phone
(813) 400-3469
NPI assigned
Nov 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6312 ID Primary

Addresses

Primary practice location

5114 Gainsville Dr
Temple Terrace, FL 33617-1050

Mailing address

5114 Gainsville Dr
Temple Terrace, FL 33617-1050
Phone (813) 785-0137

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
6312IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling Tampa LLC CurrentSince Feb 9, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crystalkehl@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1477095651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 GAINSVILLE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171050",
            "telephone_number": "813-785-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 GAINSVILLE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171050",
            "telephone_number": "813-400-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHL",
        "first_name": "CRYSTAL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-05",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.