Individual provider Active NPI

Debbie L Kelley, LMHC

  • Professional Counselor
  • Inverness, FL
National Provider Identifier
1629320080
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH14195 Issued in FL
Practice address
1429 E Saint James Loop
Inverness, FL 34453-3638
Phone
(856) 371-6602
Fax
(352) 581-6213
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14195 FL
Professional Counselor 101YP2500X MH14195 FL Primary

Addresses

Primary practice location

1429 E Saint James Loop
Inverness, FL 34453-3638

Mailing address

1429 E Saint James Loop
Inverness, FL 34453-3638
Phone (856) 371-6602

Other names 1

  • Debbie L Dodge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000601 FL Practitioner - Mental Health Counselor 2466958988 Practice locations: Inverness, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1429 E Saint James Loop
Inverness, FL 34453-3638
Phone (856) 371-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH14195FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Debbie Dodge, LLC PastSince Jun 9, 2016 Accepting new patients

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1629320080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E SAINT JAMES LOOP",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533638",
            "telephone_number": "856-371-6602",
            "fax_number": "352-581-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E SAINT JAMES LOOP",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533638",
            "telephone_number": "856-371-6602",
            "fax_number": "352-581-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DEBBIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14195",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH14195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "DODGE",
            "middle_name": "L",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.