Kelly A Aissen, PH.D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8250 Issued in FL

Practice address

11 NW 33Rd CT
Gainesville, FL 32607-3260

Phone

(352) 278-7008

NPI assigned

Feb 13, 2008

Last updated

Feb 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Itm Group

  • Community/Behavioral Health Agency
  • Gainesville, FL
  • NPI 1669641015
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1669640637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076459",
            "telephone_number": "352-278-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073260",
            "telephone_number": "352-278-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISSEN",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Diane Aikin
• Daniel Aine, DO
• Sierra Ainge
• James Ainsworth
• Faith Aisien, MD
• Rajan Aiyappan, MSW
• Ayodeji Aiyejorun, M.D.
• Samuel Ajamu
• Patricia Bordeaux Ajlani
• Eman Akbik, OD

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Feb 22, 2022; 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.