Kenneth Donaldson, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH0003695 Issued in FL

Practice address

10823 Seminole Blvd Ste 1B
Seminole, FL 33778-3347

Phone

(727) 394-7325

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1861441412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 104TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337784106",
            "telephone_number": "727-397-5370",
            "fax_number": "727-319-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 SEMINOLE BLVD STE 1B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337783347",
            "telephone_number": "727-394-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8081 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Pete",
            "state": "FL",
            "postal_code": "33710",
            "country_code": "US",
            "telephone_number": "727-394-7325",
            "fax_number": "727-319-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH0003695",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH0003695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Seminole, FL
• Providers in Seminole, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.