Individual provider Active NPI

Kellie Nicole Wessel

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1790491561
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH23600 Issued in FL
Practice address
1600 E Robinson St Ste 250
Orlando, FL 32803-5955
Phone
(407) 423-3327
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH23600 FL Primary

Addresses

Primary practice location

1600 E Robinson St Ste 250
Orlando, FL 32803-5955

Mailing address

1600 E Robinson St Ste 250
Orlando, FL 32803-5955
Phone (407) 423-3327

Other practice location 1

2650 Dade Ave Apt 1516
Orlando, FL 32804-4688
Phone (407) 577-0677

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

LicenseStateTypeSpecialty
IMH23600FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Everyone's Counseling Center, Inc. Mental Health CurrentSince Jan 29, 2023 Accepting new patients

Locations

1600 E Robinson St
Ste 250
Orlando, FL 32803
Phone (407) 423-3327

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1790491561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E ROBINSON ST STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035955",
            "telephone_number": "407-423-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROBINSON ST STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035955",
            "telephone_number": "407-423-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Dade Ave Apt 1516",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044688",
            "country_code": "US",
            "telephone_number": "407-577-0677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "KELLIE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 25, 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.