Individual provider Active NPI

Whitney Degraff Kicklighter, LMHC

  • Counselor
  • Orlando, FL
National Provider Identifier
1881045102
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH16130 Issued in FL
Practice address
5850 T G Lee Blvd Ste 205
Orlando, FL 32822-4408
Phone
(407) 630-9824
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X MH16130 FL Primary

Addresses

Primary practice location

5850 T G Lee Blvd Ste 205
Orlando, FL 32822-4408

Mailing address

5850 T G Lee Blvd Ste 205
Orlando, FL 32822-4408
Phone (407) 630-9824

Other names 1

  • Mrs. Whitney Degraff Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Waters Counseling LLC PastSince Jul 21, 2024 Accepting new patients
Tranquil Waters Foundation Inc. PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1881045102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 T G LEE BLVD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224408",
            "telephone_number": "407-630-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 T G LEE BLVD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224408",
            "telephone_number": "407-630-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICKLIGHTER",
        "first_name": "WHITNEY",
        "middle_name": "DEGRAFF",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "DEGRAFF",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.