Kendra Reynolds, MA, RMHCI

Individual provider Active NPI Mental Health Counselor · Lady Lake, FL

NPI 1891472932 · NPPES record last updated Jun 3, 2025

Key facts

NPI
1891472932
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
23848 (FL)
Practice address
363 Fennell Blvd
Lady Lake, FL 32159-3185
Phone
(352) 633-5253
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23848FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocare Orthotics and Prosthetics Inc Past
since Sep 1, 2023
Accepting new patients
Freedom Counseling Services, LLC Mental Health Past
since Sep 1, 2023
Accepting new patients
Moore Consulting Holdings, LLC Mental Health Past
since Jul 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 23848 FL Yes

Addresses

Primary practice location

363 Fennell Blvd
Lady Lake, FL 32159-3185

Mailing address

825 Briarwood CT
Orange City, FL 32763-4319
Phone (954) 806-9977

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2025.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1891472932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BRIARWOOD CT",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327634319",
            "telephone_number": "954-806-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FENNELL BLVD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593185",
            "telephone_number": "352-633-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KENDRA",
        "name_prefix": "Mrs.",
        "credential": "MA, RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "23848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

All providers in Lady Lake, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.