Kailey Rose Mahan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16362 Issued in FL

Practice address

5095 S Washington Ave Ste 102
Titusville, FL 32780-7333

Phone

(407) 917-6828

Fax

(321) 888-4922

NPI assigned

May 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mahan Counseling, LLC

  dba Miracle City Counseling

  • Mental Health Counselor
  • Titusville, FL
  • NPI 1285291633
  NPD Authorized official

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1588042089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 OSCEOLA RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806545",
            "telephone_number": "321-482-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 S WASHINGTON AVE STE 102",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807333",
            "telephone_number": "407-917-6828",
            "fax_number": "321-888-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2479 Aloma Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922541",
            "country_code": "US",
            "telephone_number": "402-657-6692 x10",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "KAILEY",
        "middle_name": "ROSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16362",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KINDER CONSULTING",
            "identifier": "101YM0800X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda M Macdade, MSW
• Zoe Faye Magill, LMT MMP
• Alexandra Magliocco, PHARMD
• David Jeremiah Magness, D.O.
• Mahan Counseling, LLC (Miracle City Counseling)
• Uzma Malik, M.D.
• Deborah Malone, D.O.
• Christopher M Manion, MD
• Edward Joseph Manzano Jr., M.ED
• Marathon Health, LLC

• Mental Health Counselor in Titusville, FL
• Providers in Titusville, 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 Aug 28, 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.