Individual provider Active NPI

Rhett Kennedy Brandt, PH.D., LMHC, CAP

  • Addiction (Substance Use Disorder) Counselor
  • Lakeland, FL
National Provider Identifier
1780704973
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP 2683 Issued in FL
Practice address
4720 Cleveland Heights Blvd
Suite 105
Lakeland, FL 33813-2243
Phone
(863) 701-7202
Fax
(863) 701-9262
NPI assigned
Mar 30, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 2683 FL Primary
Mental Health Counselor 101YM0800X MH 6787 FL

Addresses

Primary practice location

4720 Cleveland Heights Blvd
Suite 105
Lakeland, FL 33813-2243

Mailing address

4720 Cleveland Heights Blvd
Suite 105
Lakeland, FL 33813-2243
Phone (863) 701-7202

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CAP 2683FLMDAddiction (Substance Use Disorder) Counselor
MH 6787FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological and Neurobehavioral Services P a 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780704973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132243",
            "telephone_number": "863-701-7202",
            "fax_number": "863-701-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132243",
            "telephone_number": "863-701-7202",
            "fax_number": "863-701-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "RHETT",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2683",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.