KMG Behavioral Health Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KMG BEHAVIORAL HEALTH SERVICES LLC

Practice address

15165 Michelangelo Blvd Apt 207
Delray Beach, FL 33446-6026

Phone

(561) 927-9442

NPI assigned

Jan 10, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Trudi Justice

Title

President

Phone

(561) 927-9442

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1770297160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601-1 N MAIN ST UNIT 3159",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322067707",
            "telephone_number": "561-927-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15165 MICHELANGELO BLVD APT 207",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334466026",
            "telephone_number": "561-927-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMG BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "TRUDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-927-9442",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew M Klapper, M.D.
• Jaclyn Paciaroni Klauder, RDN, LD
• Andrea Kleinbauer, RDN
• David Kleinman, MD
• KM Facial Plastics
• Alyssa Koch, L.CSW
• Lily Koch, M.S.
• Kayla Marie Koen, RN
• Ilayda Koenigsberger
• Michele Koeppel, LCSW

• Mental Health Counselor in Delray Beach, FL
• Providers in Delray Beach, 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 Oct 26, 2023; 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.