KC Counseling and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KC COUNSELING AND WELLNESS LLC

Practice address

1211 Tech Blvd Ste 127
Tampa, FL 33619-7846

Phone

(863) 313-0340

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Kanilina Clerge, LMFTNPI 1922354059

Title

Owner

Phone

(786) 400-8093

Specialties & licenses 5

Addresses

Other names 1

• KC Counseling and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanilina Clerge

  • Marriage & Family Therapist
  • Brandon, FL
  • NPI 1922354059
  NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1851149009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 KING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117853",
            "telephone_number": "786-400-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 TECH BLVD STE 127",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197846",
            "telephone_number": "863-313-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "CLERGE",
        "authorized_official_first_name": "KANILINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-400-8093",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Kazbour, BCBA-D
• Maryam Kazelka, MD
• Ismail Kazem, M.D.
• Sebastian Kazmierczak, OTD, OTR/L
• KC Care Inc.
• Kci USA, Inc.
• KD RX LLC
• Victoria A Kean, ATC
• Todd Patrick Keanan, RKT
• Michaela Joy Kearney, LCSW

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, 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 May 10, 2024; 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.