Kristie Delane Powell, MA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

104100000X Issued in FL

Practice address

12980 Walsingham Rd
Largo, FL 33774-3511

Phone

(727) 900-5129

NPI assigned

Oct 23, 2017

Last updated

Jun 12, 2024By 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

Master of Arts

State licenses

Practice roles

Locations

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.

• Kristie Powell Therapy

  • Mental Health Counselor
  • Largo, FL
  • NPI 1700628443
  NPD Authorized official
• Ibis Healthcare Inc

  dba Gracepoint

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1346224011
  NPD (past)

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1689185225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 PARK BLVD STE 104-279",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724757",
            "telephone_number": "727-900-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743511",
            "telephone_number": "727-900-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KRISTIE",
        "middle_name": "DELANE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Portillo, APRN
• Positive Kindness Inc (Mobility City of St. Pete/Clearwater)
• John Poulos, RPH
• Alexander Michael Powell, STUDENT
• Brian Keith Powell, DO
• Rachel Ann Power
• PPH FL-Suncoast, LLC (Park Home Care)
• Nicole Prato
• Olivia Lissette Pratt, PA
• Thomas J Prebish, D.O.

• Community/Behavioral Health Agency in Largo, FL
• Providers in Largo, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.