Ivette Martha Kellems

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMT2498 Issued in FL

Practice address

654 NE 9TH PL
Homestead, FL 33030-4934

Phone

(305) 248-3488

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ivette Porras Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1801430244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 SW 10TH ST APT 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354800",
            "telephone_number": "305-338-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEMS",
        "first_name": "IVETTE",
        "middle_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMT2498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "IMT2498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "PORRAS",
            "credential": "RMFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha Mercedes Katz, M.D.
• Carol Walter Kaufman, PSY.D.
• Kayleen and Denis Care
• Kelly Brown Kearney, BCBA
• Kella Homes LLC
• Anna Kelman, DDS
• Kendall South Foundation Inc
• Keys Gate Wellness Associates, LLC
• Amine Khachani, M.D.
• Khakirob Inc

• Mental Health Counselor in Homestead, FL
• Providers in Homestead, 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 29, 2019; 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.