Active NPI
Kelley Sgroi, LMHC
- Mental Health Counselor
- Port Charlotte, FL
National Provider Identifier
1629340823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17027
- Practice address
- 1777 Tamiami TRL
Port Charlotte, FL 33948-1078 - Phone
- (941) 204-8595
- NPI assigned
- Feb 2, 2012
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20753 | NC | |
| Mental Health Counselor | 101YM0800X | MH17027 | FL | Primary |
| Professional Counselor | 101YP2500X | 003449 | CT | |
| Dental Hygienist | 124Q00000X | 005958 | CT |
Addresses
Primary practice location
1777 Tamiami TRL
Port Charlotte, FL 33948-1078
Mailing address
185 Midland Dr
Waynesville, NC 28785-9696
Phone (941) 204-8595
Other practice location 1
185 Midland Dr
Waynesville, NC 28785-9696
Phone (941) 204-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629340823 | Medicaid | CT |
Other names 1
- Kelley Sgroi
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH17027 | FL | MD | Mental Health Counselor |
| 005958 | CT | MD | Dental Hygienist |
| 20753 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelley Sgroi LMHC, LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1629340823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 MIDLAND DR",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287859696",
"telephone_number": "941-204-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481078",
"telephone_number": "941-204-8595"
}
],
"practiceLocations": [
{
"address_1": "185 Midland Dr",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "NC",
"postal_code": "287859696",
"country_code": "US",
"telephone_number": "941-204-8595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SGROI",
"first_name": "KELLEY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "20753",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17027",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "003449",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "005958",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629340823",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "SGROI",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.