Individual provider Active NPI

Michelle Kegley, LMHC, LPC

  • Professional Counselor
  • Boca Raton, FL
National Provider Identifier
1609216142
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH22247 Issued in FL
Practice address
3200 N Federal Hwy Ste 206-7
Boca Raton, FL 33431-6057
Phone
(404) 496-8849
Fax
(404) 591-7909
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008859 GA
Professional Counselor 101YP2500X MH22247 FL Primary

Addresses

Primary practice location

3200 N Federal Hwy Ste 206-7
Boca Raton, FL 33431-6057

Mailing address

3200 N Federal Hwy Ste 206-7
Boca Raton, FL 33431-6057
Phone (404) 496-8849

Other identifiers 1

IdentifierTypeStateIssuer
1609216142OtherNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22247FLMDProfessional Counselor
LPC008859GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kegley Counseling, LLC Professional Current Accepting new patients

Locations

3200 N Federal Hwy
Ste 206-7
Boca Raton, FL 33431
Phone (404) 496-8849

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1609216142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY STE 206-7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316057",
            "telephone_number": "404-496-8849",
            "fax_number": "404-591-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY STE 206-7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316057",
            "telephone_number": "404-496-8849",
            "fax_number": "404-591-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "MICHELLE",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008859",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH22247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1609216142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.