Individual provider Active NPI

Kinsey E Pocchio, LMFT

  • Marriage & Family Therapist
  • Tallahassee, FL
National Provider Identifier
1528817038
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4127 Issued in FL
Practice address
1030 E Lafayette St Ste 7
Tallahassee, FL 32301-4547
Phone
(404) 939-4626
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4127 FL Primary

Addresses

Primary practice location

1030 E Lafayette St Ste 7
Tallahassee, FL 32301-4547

Mailing address

1030 E Lafayette St Ste 7
Tallahassee, FL 32301-4547
Phone (404) 939-4626

Other practice location 1

3148 Dick Wilson Blvd Apt 1417
Tallahassee, FL 32301-5154
Phone (404) 939-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2026 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT4127FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom and Heal Therapy Services Marriage & Family Therapist CurrentSince May 19, 2024 Accepting new patients

Locations

1030 E Lafayette St
Ste 7
Tallahassee, FL 32301
Phone (386) 205-0553

Organizations & group practices 1

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1528817038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E LAFAYETTE ST STE 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014547",
            "telephone_number": "404-939-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E LAFAYETTE ST STE 7",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014547",
            "telephone_number": "404-939-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3148 Dick Wilson Blvd Apt 1417",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323015154",
            "country_code": "US",
            "telephone_number": "404-939-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POCCHIO",
        "first_name": "KINSEY",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.