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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23848 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocare Orthotics and Prosthetics Inc | Past |
Accepting new patients | |
| Freedom Counseling Services, LLC | Mental Health | Past |
Accepting new patients |
| Moore Consulting Holdings, LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Leslie A Reigle
- Reinventme, LLC
- Reliable Health Care LLC
- Tiffany Robin Remillard
- Renal Treatment Centers-Southeast, LP.
- Cheryl Rilea
- Samantha Rivas Crespo
- Sonia Rivero Fernandez
- Dametre Shavon Roberts
- Nicole Robinson
All providers in Lady Lake, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.