Active NPI
Kelly Gilbert, MH 19467
- Mental Health Counselor
- Placida, FL
National Provider Identifier
1831852987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19467
- Practice address
- 12 Yardarm Dr
Placida, FL 33946-5086 - Phone
- (941) 258-2746
- NPI assigned
- Oct 15, 2021
- Last updated
- Oct 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19467 | FL | Primary |
Addresses
Primary practice location
12 Yardarm Dr
Placida, FL 33946-5086
Mailing address
12 Yardarm Dr
Placida, FL 33946-5086
Phone (941) 258-2746
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19467 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1831852987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 YARDARM DR",
"city": "PLACIDA",
"state": "FL",
"postal_code": "339465086",
"telephone_number": "941-258-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 YARDARM DR",
"city": "PLACIDA",
"state": "FL",
"postal_code": "339465086",
"telephone_number": "941-258-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "KELLY",
"credential": "MH 19467",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "19467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placida, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.