Active NPI
Kelly Jade Griffin, MA, RMHCI
- Mental Health Counselor
- Davie, FL
National Provider Identifier
1871247890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22153
- Practice address
- 150 S Pine Island Rd
Suite 300 Unit 94
Davie, FL 33324 - Phone
- (954) 860-3742
- NPI assigned
- Feb 8, 2022
- 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 | 22153 | FL | Primary |
Addresses
Primary practice location
150 S Pine Island Rd
Suite 300 Unit 94
Davie, FL 33324
Mailing address
150 S Pine Island Rd
Suite 300 Unit 94
Davie, FL 33324
Phone (954) 860-3742
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22153 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1871247890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S PINE ISLAND RD",
"address_2": "SUITE 300 UNIT 94",
"city": "DAVIE",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-860-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S PINE ISLAND RD",
"address_2": "SUITE 300 UNIT 94",
"city": "DAVIE",
"state": "FL",
"postal_code": "33324",
"telephone_number": "954-860-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "KELLY",
"middle_name": "JADE",
"credential": "MA, RMHCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "22153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.