Individual provider Active NPI

Kathleen Ann Kinney, LMHC

  • Mental Health Counselor
  • Lecanto, FL
National Provider Identifier
1881947018
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11467 Issued in FL
Practice address
2417 N Lecanto Hwy
Lecanto, FL 34461-9677
Phone
(352) 270-9009
Fax
(352) 513-2833
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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 MH11467 FL Primary

Addresses

Primary practice location

2417 N Lecanto Hwy
Lecanto, FL 34461-9677

Mailing address

PO Box 491000
Leesburg, FL 34749-1000
Phone (352) 315-7500

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
I20231120001460 FL Practitioner - Mental Health Counselor 4082062757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instic Health LLCGroup PAC ID 2365850468, 7 clinicians

Practice addresses (Care Compare)

105 N Alexander St
Suite 105
Plant City, FL 33563-4831
Phone (813) 755-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH11467FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Instic Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients

Locations

214 S Apopka Ave
Inverness, FL 34452
Phone (352) 508-7310

7617 Cita Ln
Unit 101
New Prt Rchy, FL 34653
Phone (352) 508-7310

105 N Alexander St
Ste 105
Plant City, FL 33563
Phone (813) 755-7300

613 W Dr Martin Luther King Jr Blvd
Ste 104
Tampa, FL 33603
Phone (813) 587-9911

Organizations & group practices 3

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1881947018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491000",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491000",
            "telephone_number": "352-315-7500",
            "fax_number": "352-315-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619677",
            "telephone_number": "352-270-9009",
            "fax_number": "352-513-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.