Individual provider Active NPI

Kenneth Bedeker

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1851451827
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13399 Issued in FL
Practice address
7809 Massachusetts Ave
New Port Richey, FL 34653-3028
Phone
(727) 841-4200
Fax
(813) 834-3941
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 13399 FL Primary

Addresses

Primary practice location

7809 Massachusetts Ave
New Port Richey, FL 34653-3028

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-0002

Other identifiers 1

IdentifierTypeStateIssuer
760925600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kenneth.BedekerLMHC@direct.mybaycare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002529 FL Practitioner - Mental Health Counselor 5395192009 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13399FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Apr 28, 2024 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Apr 28, 2024 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

15311 Cortez Blvd
Brooksville, FL 34613
Phone (352) 467-6529

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

7809 Massachusetts Ave
New Prt Rchy, FL 34653
Phone (727) 841-4200

1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062

Interoperability endpoints

  • Direct secure messaging: kenneth.bedekerlmhc@direct.mybaycare.org

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1851451827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-532-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 MASSACHUSETTS AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533028",
            "telephone_number": "727-841-4200",
            "fax_number": "813-834-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDEKER",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760925600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kenneth.BedekerLMHC@direct.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7809 Massachusetts Ave",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346533028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.