Active NPI
Kiefanie Nibbs, LMHC
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1710579925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH20524
- Practice address
- 6072 Raleigh St Apt 1904
Orlando, FL 32835-2234 - Phone
- (321) 331-1437
- NPI assigned
- Feb 9, 2021
- Last updated
- May 5, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH20524 | FL | Primary |
| Mental Health Counselor | 101YM0800X | 27186 | FL |
Addresses
Primary practice location
6072 Raleigh St Apt 1904
Orlando, FL 32835-2234
Mailing address
6072 Raleigh St Apt 1904
Orlando, FL 32835-2234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070525000 | Medicaid | FL | |
| 1326075300 | Other | FL | THE HOUSE NEXT DOOR NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Deland |
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 |
|---|---|---|---|
| 27186 | FL | MD | Mental Health Counselor |
| IMH20524 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The House Next Door, Inc. | Mental Health | Past | 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": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1710579925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6072 RALEIGH ST APT 1904",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328352234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6072 RALEIGH ST APT 1904",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328352234",
"telephone_number": "321-331-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIBBS",
"first_name": "KIEFANIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH20524",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "27186",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070525000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE HOUSE NEXT DOOR NPI",
"identifier": "1326075300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Deland",
"affiliation": "N",
"address_1": "804 N Woodland Blvd",
"city": "Deland",
"state": "FL",
"country_code": "US",
"postal_code": "327202709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.