Kelley C Flynn, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH24355 Issued in FL

Practice address

6704 Plantation Rd Unit C
Pensacola, FL 32504-4207

Phone

(850) 760-2300

NPI assigned

Dec 2, 2019

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group NPD
• Refuge Springs Counseling, Inc

  • Mental Health Counselor
  • Pensacola, FL
  • NPI 1235006529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1760029466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 PLANTATION RD UNIT C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044207",
            "telephone_number": "850-760-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 PLANTATION RD UNIT C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044207",
            "telephone_number": "850-760-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 State Highway 83",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324337404",
            "country_code": "US",
            "telephone_number": "850-585-9189",
            "fax_number": "850-951-0898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 John King Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325395731",
            "country_code": "US",
            "telephone_number": "850-585-9189",
            "fax_number": "850-951-0898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KELLEY",
        "middle_name": "C",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Christine Flowers, LMHC
• Katrena Quesenberry Floyd, M.D.
• Terrisha Floyd, APRN
• Charlene Faye Fluharty, SUPPORT COORDINATOR
• Robert Flurry, M.D.
• Amy P Foland, MD
• Jason A. Foland, MD
• Angela L Folker
• Charles Eric Folkers, PH.D.
• Donald Joseph Fontenot Jr., CRNA

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, 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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.