Kelly Allen
Individual provider Active NPI Mental Health Counselor · Crestview, FL
NPI 1669221941 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1669221941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 128 John King Rd Ste 18
Crestview, FL 32539-5731 - Phone
- (850) 347-5457
- NPI assigned
- May 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayer Neurobehavioral Center, PLLC
Practice addresses (Care Compare)
3 Vine Ave NE
Fort Walton Beach, FL 32548-5069
Phone (850) 226-7666
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behealthy Counseling | Counselor | Current |
Accepting new patients |
Locations
128 John King Rd
Ste 18
Crestview, FL 32539
Phone (850) 347-5457
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
128 John King Rd Ste 18
Crestview, FL 32539-5731
Mailing address
128 John King Rd Ste 18
Crestview, FL 32539-5731
Other providers in Crestview, FL
- Sarah Alford
- Amanda Ann Colby Algee
- Sydney E Alino
- Allegiance Resiliency Therapy L.L.C.
- Heather Allen
- Alternative Living Inc.
- Alternative Living, Inc.
- Always Hope Developmental Services
- Amedisys Florida, LLC
- Naana W Anakwah
All providers in Crestview, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.